Individual
MACKENZIE LANMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7683 TICE RD, CENTERVILLE, IN 47330-9720
(765) 960-6011
Mailing address
7683 TICE RD, CENTERVILLE, IN 47330-9720
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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