Individual
LARA CHRISTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, SCAT
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2000
Mailing address
35 CROSSCREEK DR APT J7, CHARLESTON, SC 29412-2505
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1985
SC
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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