Individual
JACK SULLIVAN LEHKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1300 WHEAT ST, COLUMBIA, SC 29208-0001
(803) 777-5261
Mailing address
1522 COLLEGEWOOD ST, YPSILANTI, MI 48197-2023
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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