Individual
DONATO JOSEPH COLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, M.ED. ATC
Contact information
Practice address
1891 HICKORY POINT DR, LEXINGTON, NC 27292-8130
(704) 202-0527
Mailing address
1891 HICKORY POINT DR, LEXINGTON, NC 27292-8130
(704) 202-0527
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3051
NC
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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