Individual
LANNIE HALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2500 WARREN CARROLL DR, RALEIGH, NC 27695-0001
(919) 515-2111
Mailing address
2500 WARREN CARROLL DR, RALEIGH, NC 27695-0001
(919) 515-2111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2684
NC
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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