LUCIUS WILLSON

LEXINGTON, KY
NPI1366932659
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KY  AT643)
Enumeration Date2018-05-13
Last Update Date2018-05-13
Business Address
LUCIUS WILLSON ATC
3401 YORKSHIRE MEDICAL PARK
LEXINGTON, KY 40509-2513
Phone number: 859-263-5140
Mailing Address
LUCIUS WILLSON ATC
634 BRAMBLEWOOD DR
CORBIN, KY 40701-7427
Phone number: 606-627-6426