Individual
LORIE ANN ALLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, ATL
Contact information
Practice address
600 ROBBINS RD, BOISE, ID 83702-4539
(208) 489-4040
Mailing address
4803 W MYSTIC COVE DR, GARDEN CITY, ID 83714-4785
(208) 404-0730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
069
ID
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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