Individual
MRS. LISA L CONROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
10 WESTWOOD DR, MOODUS, CT 06469-1246
(860) 873-2073
Mailing address
10 WESTWOOD DR, MOODUS, CT 06469-1246
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000161
CT
Other
Enumeration date
08/24/2007
Last updated
08/08/2011
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