Individual
SOPHIA ANNA LANASA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 TIMOTHY DR, LINTHICUM, MD 21090-2114
(410) 412-0597
Mailing address
624 TIMOTHY DR, LINTHICUM, MD 21090-2114
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/24/2018
Last updated
11/24/2018
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