Lanny Brian Lightfoot, M.S.

NPI #1053596833 in Dacula, Georgia

Provider Information

NPI Number
1053596833
Entity Type
Individual
Name
Lanny Brian Lightfoot, M.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
M.S.
Enumeration Date
Dec 30, 2007
Last Updated
Dec 30, 2007

Practice Location

Address
2098 TERON TRCE STE 300
City
Dacula
State
Georgia
ZIP Code
30019-1667
Phone
(770) 614-4060

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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