Individual
NICOLE LANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8107 NW 66TH TER, TAMARAC, FL 33321-7006
(305) 619-6370
Mailing address
8107 NW 66TH TER, TAMARAC, FL 33321-7006
(305) 619-6370
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
About Stedi
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