Individual
LANCE MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2111 HWY78E SUITE 2, ANNISTON, AL 36207
(256) 832-1988
(256) 832-1966
Mailing address
150 NOAH LN, OXFORD, AL 36203
(256) 493-2812
(256) 832-1966
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
492
AL
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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