Provider Demographics
NPI:1356464838
Name:HAMMONDS, LONNIE M JR (MD)
Entity Type:Individual
Prefix:
First Name:LONNIE
Middle Name:M
Last Name:HAMMONDS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 763
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72654-0763
Mailing Address - Country:US
Mailing Address - Phone:870-425-5464
Mailing Address - Fax:870-425-5465
Practice Address - Street 1:2062 HIGHWAY 62 W
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-7656
Practice Address - Country:US
Practice Address - Phone:870-425-5464
Practice Address - Fax:870-425-5465
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-9180207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR1356464838OtherNPI