Individual
LORI LYNN DELONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.C.
Contact information
Practice address
5735 COLLEGE PKWY, MOBILE, AL 36613-2842
(251) 442-2302
Mailing address
1680 PENNSYLVANIA PL, MOBILE, AL 36695-4302
(251) 725-4984
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1068
AL
390200000X
Student in an Organized Health Care Education/Training Program
1068
AL
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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