Individual
LANAE NOWATZKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3300 W CAMELBACK RD, PHOENIX, AZ 85017-1097
(541) 914-4701
Mailing address
3300 W CAMELBACK RD, PHOENIX, AZ 85017-1097
(602) 639-7200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-009064
AZ
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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