Individual
MRS. LYDIA LOREE CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5246 N ROYAL DR, SUITE B, TRAVERSE CITY, MI 49684-6984
(231) 929-0303
(231) 929-0305
Mailing address
4691 VOICE RD, KINGSLEY, MI 49649-9604
(231) 313-1112
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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