DANIEL RAY LAWRENCE

SLIDELL, LA
NPI1295106417
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  LAT-2758)
Enumeration Date2015-10-14
Last Update Date2015-10-14
Business Address
Mr. DANIEL RAY LAWRENCE LAT, ATC
1101 DOVERVILLE CT
SLIDELL, LA 70461-4401
Phone number: 770-367-6712
Mailing Address
Mr. DANIEL RAY LAWRENCE LAT, ATC
1101 DOVERVILLE CT
SLIDELL, LA 70461-4401
Phone number: 770-367-6712