Individual
LORI ALLISON KHAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ATC, CSCS
Contact information
Practice address
11892 WEXFORD PLACE DR, MARYLAND HEIGHTS, MO 63043-1763
(314) 368-9772
Mailing address
11892 WEXFORD PLACE DR, MARYLAND HEIGHTS, MO 63043-1763
(314) 368-9772
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000157569
MO
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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