Individual
LUKE JAMESON FONDREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 US-11, LIVINGSTON, AL 35470
(205) 652-3714
Mailing address
240 HOMESTEAD DR, WILSONVILLE, AL 35186-7256
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
AL
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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