Individual
LANCE LETOURNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, AT, LAT
Contact information
Practice address
7158 BOLINGBROOK DR, PORTAGE, MI 49024-3491
(989) 630-8809
Mailing address
7158 BOLINGBROOK DR, PORTAGE, MI 49024-3491
(989) 630-8809
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
26010011907
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/02/2016
Last updated
05/12/2022
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