Individual
BRYCE LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
209 S KINGSHIGHWAY ST, SAINT CHARLES, MO 63301-1693
(636) 949-4816
Mailing address
2206 ALLWOOD AVE, VALRICO, FL 33596-7837
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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