Individual
LILY ANN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 N FAIRVIEW ST, LOCK HAVEN, PA 17745-2342
(570) 484-2027
Mailing address
614 BLANCHARD ST, BELLEFONTE, PA 16823-8603
(814) 470-3520
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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