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Individual

MARK LAHR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1200 N GIRLS SCHOOL RD, INDIANAPOLIS, IN 46214-3403
(317) 988-7052
Mailing address
6769 AZALEA DR, INDIANAPOLIS, IN 46214-1925
(317) 408-2982

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000084A
IN

Other

Enumeration date
04/10/2015
Last updated
04/10/2015
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