Individual
MRS. LORI ELIZABETH BRISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
5407 ROLAND AVE, BALTIMORE, MD 21210-1938
(410) 323-7361
Mailing address
5407 ROLAND AVE, BALTIMORE, MD 21210-1938
(410) 323-7361
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/31/2005
Last updated
03/31/2015
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