-- JIMMY LYNN LAWRENCE ⚕️ Virginia 1104197292

NPI	1104197292
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 126000313)
Enumeration Date	2012-01-20
Last Update Date	2012-01-20

-- JIMMY LYNN LAWRENCE

675 WASHINGTON ST SW

BLACKSBURG, VA 24060-9523

Phone number: 540-231-5690

-- JIMMY LYNN LAWRENCE

675 WASHINGTON ST SW

BLACKSBURG, VA 24060-9523

Phone number: 540-231-5690