Individual
MRS. LISA BRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LAT, ATC
Contact information
Practice address
421 POPLAR ST, BURDEN, KS 67019-9416
(620) 229-6226
Mailing address
421 POPLAR, BURDEN, KS 67019
(620) 229-6226
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
KS
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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