Individual
ALLISON RENEE LASTRAPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
3150 CARDINAL DR, MELISSA, TX 75454-2452
(361) 443-7543
Mailing address
4490 ELDORADO PKWY APT 735, MCKINNEY, TX 75070-3878
(361) 443-7543
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9051
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/23/2020
Last updated
07/07/2022
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