Individual
LORI GLEASON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
43 OAKHILL DR, HAMBURG, NY 14075-4620
(716) 648-0049
Mailing address
43 OAKHILL DR, HAMBURG, NY 14075-4620
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001306
NY
Other
Enumeration date
04/03/2006
Last updated
07/08/2007
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