Individual
MICHELLE LOMONACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
171 MOULTRIE ST, SPORTS MEDICINE DEPARTMENT, CHARLESTON, SC 29409-0001
(843) 953-2251
(843) 953-6727
Mailing address
171 MOULTRIE ST, SPORTS MEDICINE DEPARTMENT, CHARLESTON, SC 29409-0001
(843) 953-2251
(843) 953-6727
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
699
SC
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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