Individual
LYDIA HAAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1 UNIVERSITY DR # 823, CAMPBELLSVILLE, KY 42718-2190
(270) 789-5152
Mailing address
1 UNIVERSITY DR # 823, CAMPBELLSVILLE, KY 42718-2190
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/23/2021
Last updated
04/25/2024
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