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Individual

LLOYD TIMOTHY MCLANE

Active
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Individual

LLOYD TIMOTHY MCLANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL0000001
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000090290
NATIONAL BOARD
—
01
—
1326
STATE LICENSES
SC
01
—
AL0000001
STATE LICENSE
FL
01
—
AT001723
STATE LICENSE
GA
Enumeration date
07/03/2006
Last updated
04/16/2013
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