Individual
JACKSON LOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1971 UNIVERSITY BLVD, LAHAYE ICE CENTER, LYNCHBURG, VA 24502
(540) 470-0723
Mailing address
143 HEREFORD DR, FISHERSVILLE, VA 22939-2102
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003224
VA
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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