Individual
LUCAS HARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
Mailing address
10683 TIGERTON LN, CHARLOTTE, NC 28269-1448
(919) 627-4531
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3135
NC
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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