Individual
ROBERT LYNALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
KAUFMAN FOOTBALL BUILDING, CAMPUS BOX 7160, NORMAL, IL 61790-0001
(309) 438-3111
Mailing address
KAUFMAN FOOTBALL BUILDING, CAMPUS BOX 7160, NORMAL, IL 61790-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002940
IL
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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