Individual
TRACY LEE LOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1 UNIVERSITY DR, UPO 823, CAMPBELLSVILLE, KY 42718-2190
(270) 789-5172
(270) 789-5199
Mailing address
1 UNIVERSITY DRIVE, UPO 823, CAMPBELLSVILLE, KY 42718
(270) 789-5172
(270) 789-5199
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT783
KY
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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