LANNY BRIAN LIGHTFOOT

DACULA, GA
NPI1053596833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT001451)
Enumeration Date2007-12-30
Last Update Date2007-12-30
Business Address
-- LANNY BRIAN LIGHTFOOT M.S.
2098 TERON TRCE STE 300
DACULA, GA 30019-1667
Phone number: 770-614-4060
Mailing Address
-- LANNY BRIAN LIGHTFOOT M.S.
2098 TERON TRCE STE 300
DACULA, GA 30019-1667
Phone number: 770-614-4060
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