Individual
JEREMIAH LUKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, CSCS
Contact information
Practice address
176 ROCKY SHOALS TRL, MOUNT AIRY, GA 30563-3669
(814) 227-8601
Mailing address
176 ROCKY SHOALS TRL, MOUNT AIRY, GA 30563-3669
(814) 227-8601
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002888
GA
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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