Individual
LANI LITCHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
13341 W. MILL GROVE DR, GONZALES, LA 70737
(318) 278-4919
Mailing address
13341 W MILL GROVE DR, GONZALES, LA 70737-6564
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
200009
LA
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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