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1447624069
LOC LAM
FORT LEONARD WOOD, MO
NPI
1447624069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX AP128830)
Enumeration Date
2015-11-19
Last Update Date
2023-02-14
Business Address
LOC LAM PMHNP
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-593-0417
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Mailing Address
LOC LAM PMHNP
LANDSTUHL REGIONAL MEDICAL CENTER CMR 402
APO, AE 09180
Phone number:
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