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Individual

DR. JUSTIN GARY LAMONDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1145 S MORLEY ST, MOBERLY, MO 65270-1948
(660) 263-7062
Mailing address
1145 S MORLEY ST, MOBERLY, MO 65270-1948
(660) 263-7062

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2012006598
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2012006598
MO LICENSE
MO
Enumeration date
07/02/2009
Last updated
05/18/2012
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