Individual
BRETT LYSOHIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 COLLEGE AVE, ASHLAND, VA 23005
(804) 752-7200
Mailing address
9411 LINKS LN APT M, GLEN ALLEN, VA 23059-7439
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126004058
VA
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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