Individual
LONNIE JACK HAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
1085 MAPLE ST, FARMINGTON, MO 63640-1085
(573) 756-5353
Mailing address
1085 MAPLE ST, FARMINGTON, MO 63640-1085
(573) 756-5353
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
096362
MO
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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