Individual
MR. RYAN H COLLURA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
L.A.T.
Contact information
Practice address
128 E BUTCHER SWITCH RD, LAFAYETTE, LA 70507-3528
(337) 233-8080
(337) 237-1623
Mailing address
100 WINCHESTER DR, 608, LAFAYETTE, LA 70506-6096
(337) 988-6602
(337) 988-6602
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J00340
LA
Other
Enumeration date
08/31/2005
Last updated
07/08/2007
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