Individual
LISHAY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2750 MOUNT PLEASANT ST, BURLINGTON, IA 52601-2172
(319) 752-7727
Mailing address
1401 W AGENCY RD, WEST BURLINGTON, IA 52655-1643
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001117
IA
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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