Individual
MS. SUMMER R REGISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FT. RUCKER, AL 36362-5333
(334) 255-7000
Mailing address
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FT. RUCKER, AL 36362-5333
(334) 255-7000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-060650
AL
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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