Individual
MR. CHARLES ALAN LOLLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
217 STEWART STADIUM, MURRAY, KY 42071-3351
(270) 809-6858
(270) 809-4320
Mailing address
217 STEWART STADIUM, MURRAY, KY 42071-3351
(270) 809-6858
(270) 809-4320
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT049
KY
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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