Individual
LISA POAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 WATERFORD LAKE DR STE 102, MIDLOTHIAN, VA 23112-3994
(804) 658-4509
Mailing address
2820 WATERFORD LAKE DR STE 102, MIDLOTHIAN, VA 23112-3994
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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