Individual
LORI ANN VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
1567 MILSTEAD RD NE STE B, CONYERS, GA 30012-3835
(404) 778-7399
(770) 761-6849
Mailing address
1567 MILSTEAD RD NE STE B, CONYERS, GA 30012-3835
(404) 778-7399
(770) 761-6849
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
089302606
—
Other
Enumeration date
06/01/2006
Last updated
10/08/2018
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