Individual
MR. LEE LEMOND JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 WAVA AVE, NICEVILLE, FL 32578
(850) 737-1574
(850) 897-4072
Mailing address
285 WAVA AVE, NICEVILLE, FL 32578-1751
(850) 737-1574
(850) 897-4072
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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