Individual
LISA M FRIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
804 AEROVISTA PL, SAN LUIS OBISPO, CA 93401-7906
(805) 235-4672
Mailing address
3403 SYCAMORE DRIVE, SAN LUIS OBISPO, CA 93401
(805) 235-4672
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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