Individual
ADISON LEE SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1800 LINCOLN AVE, EVANSVILLE, IN 47722-1000
(812) 691-6903
Mailing address
5710 ROCKY PT, EVANSVILLE, IN 47712-3124
(812) 691-6903
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003142A
IN
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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