Individual
LACY HATFIELD BROILS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
555 COLLEGE DR, LEMOORE, CA 93245-9098
(559) 925-3523
Mailing address
1028 W MINARETS AVE, FRESNO, CA 93650-1065
(858) 204-6667
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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