Individual
MR. JASON WADE LEMLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1225 S GEAR AVE, SUITE 159, WEST BURLINGTON, IA 52655-1691
(319) 752-4553
Mailing address
704 N HAVEN DR, CARTHAGE, IL 62321-1104
(217) 357-3161
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00133
IA
Other
Enumeration date
10/13/2005
Last updated
07/08/2007
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