Lamar Richard Innes, ATC

Athletic Trainer · Douglas, AZ

Individual Active NPI

NPI number 1457752115

Practice location

4190 W Highway 80
Douglas, AZ 85607-6100
Phone
(520) 417-4124
Fax
(520) 417-4096

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NPI record

NPI
1457752115
Entity type
Individual (Type 1)
Enumeration date
September 11, 2014
Last updated
September 11, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 1203 AZ

About Lamar Innes

Lamar Richard Innes, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 4190 W Highway 80, Douglas, AZ 85607-6100. The NPI number 1457752115 was assigned on September 11, 2014 and the record was last updated on September 11, 2014.

Lamar Innes lists a license in the registry: #1203 (AZ) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lamar Richard Innes, ATC?

The NPI number is 1457752115.

What is the phone number of Lamar Innes?

The phone number listed for the practice location is (520) 417-4124.

Where is Lamar Innes located?

4190 W Highway 80, Douglas, AZ 85607-6100.

What is the taxonomy code for Lamar Innes?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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