Individual
ANDREW LALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT, CES
Contact information
Practice address
232 ESCONDIDO CT, POINCIANA, FL 34759-3694
(203) 417-5456
Mailing address
232 ESCONDIDO CT, POINCIANA, FL 34759-3694
(203) 417-5456
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 3310
FL
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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