LYNETTE MAE CARLSON

WILLOWBROOK, IL
NPI1821063017
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN  528)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096.002040)
Enumeration Date2006-02-21
Last Update Date2017-08-29
Business Address
Dr. LYNETTE MAE CARLSON DHS, ATC
635 EXECUTIVE DR
WILLOWBROOK, IL 60527-5603
Phone number: 630-455-6630
Mailing Address
Dr. LYNETTE MAE CARLSON DHS, ATC
1131 STRINGERS RIDGE RD APT 2K
CHATTANOOGA, TN 37405-3238
Phone number: 630-674-2584
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