Individual
MS. CRYSTAL LEA LANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
410 S 3RD ST, RIVER FALLS, WI 54022-5010
(715) 425-0711
Mailing address
1811 MANOR LN, HASTINGS, MN 55033-3319
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1800
MN
2255A2300X
Athletic Trainer
Primary
673-039
WI
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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