Individual
MR. ANDREW RYAN LAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
110 S MAIN ST, BOILING SPRINGS, NC 28017-9797
(704) 657-5149
(704) 406-3595
Mailing address
PO BOX 877, BOILING SPRINGS, NC 28017-0877
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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