Individual
LARRY RICHARD MUNGER JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
6TH & BOSTON, BOX 43021, LUBBOCK, TX 79409-3021
(806) 742-5111
Mailing address
3413 62ND ST, LUBBOCK, TX 79413-5422
(806) 742-5111
(806) 742-1871
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2870
TX
Other
Enumeration date
04/13/2006
Last updated
07/09/2007
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