Individual
LANCE T CROGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Contact information
Practice address
1222 WOODLAND DR, ELIZABETHTOWN, KY 42701-2710
(270) 234-1569
Mailing address
548 LAVISTA DR, RINEYVILLE, KY 40162-9424
(270) 307-3824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002425
KY
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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