Individual
DR. KATIE JEANNE LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ATC, NREMT
Contact information
Practice address
1340 ADMINISTRATION AVE, FARGO, ND 58102
(701) 231-8208
Mailing address
1602 42ND AVE S, MOORHEAD, MN 56560-7413
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
ND
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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