Individual
MR. LONNIE GROSS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
325 STRANGER ST, BLACKSBURG, VA 24061-0001
(540) 815-4336
Mailing address
402 VINCENT ST NW, ROANOKE, VA 24012-1522
(540) 815-4336
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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