Individual
LANI ELLEN LUERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
640 DR MARY MCLEOD BETHUNE BLVD, DAYTONA BEACH, FL 32114-3012
(386) 481-2262
(386) 481-2265
Mailing address
5670 LANCEWOOD DR, PORT ORANGE, FL 32127-6340
(386) 760-5417
(386) 481-2265
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1473
FL
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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