Individual
MS. LORI JANE VANCZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT,ATC
Contact information
Practice address
401 N 4TH ST, HHP BLDG RM B-17, TERRE HAUTE, IN 47809-1934
(812) 237-4062
(812) 237-9612
Mailing address
1802 COLLEGE AVE, TERRE HAUTE, IN 47803-4033
(812) 235-6299
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000226A
IN
Other
Enumeration date
08/26/2006
Last updated
07/08/2007
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