Individual
NICHOLAS SCOTT LAMBERTSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
353 1/2 N 500 E, APT 8, LOGAN, UT 84321-4255
(435) 632-9987
Mailing address
353 1/2 N 500 E, APT 8, LOGAN, UT 84321-4255
(435) 632-9987
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
87461534810
UT
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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