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Individual

LANNY LEROY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1020 N 2ND ST, ATCHISON, KS 66002-1402
(913) 360-7541
Mailing address
1020 N 2ND ST, ATCHISON, KS 66002-1402
(913) 360-7541

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00083
KS

Other

Enumeration date
12/18/2015
Last updated
12/18/2015
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