Individual
JOHN LOWELL HAMMON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3425 OAKLAND RD S, LAKELAND, FL 33801-9564
(863) 808-8412
Mailing address
3425 OAKLAND RD S, LAKELAND, FL 33801-9564
(863) 808-8412
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
72861
FL
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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