MR. Antonio Lora III, MS,ATC, PES
NPI #1023267788 in South Burlington, Vermont
Provider Information
- NPI Number
- 1023267788
- Entity Type
- Individual
- Name
- MR. Antonio Lora III, MS,ATC, PES
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS,ATC, PES
- Enumeration Date
- Sep 17, 2008
- Last Updated
- Jul 2, 2019
Practice Location
- Address
- 192 TILLEY DR
- Address 2
- MAIL STOP 4380 C1
- City
- South Burlington
- State
- Vermont
- ZIP Code
- 05403-4440
- Phone
- (802) 847-7001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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