Individual
COLLIN OWEN LAMBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 764-0874
Mailing address
940 N 500 E, LOGAN, UT 84321-3446
(435) 764-0874
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E3356794
—
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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