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Individual

MR. COREY LANNERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
165 NATCHEZ TRACE AVE STE 100, BOWLING GREEN, KY 42103-7947
(270) 782-7800
(270) 843-0779
Mailing address
165 NATCHEZ TRACE AVE STE 100, BOWLING GREEN, KY 42103-7947
(270) 782-7800
(270) 843-0779

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1382
KY

Other

Enumeration date
12/03/2019
Last updated
12/03/2019
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