Individual
LAKEYIA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 OLD NINETY SIX HWY, GREENWOOD, SC 29646-4667
(864) 227-9511
Mailing address
PSC 561 BOX 297, FPO, AP 96310-0003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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