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Individual

LYDIA ELAINE LAMERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
1330 ELMHURST DR NE, CEDAR RAPIDS, IA 52402-4763
(319) 423-1264
Mailing address
3215 SOUTTER AVE SE, CEDAR RAPIDS, IA 52403-3149
(319) 423-1264

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000776
IA

Other

Enumeration date
05/14/2019
Last updated
05/14/2019
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