Individual
LISA BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT
Contact information
Practice address
1 UNIVERSITY PL, MURFREESBORO, NC 27855-1855
(252) 398-6458
Mailing address
1 UNIVERSITY PL, MURFREESBORO, NC 27855-1855
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1016
NC
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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