Lisa Marie Roper, B.S, ATC, LAT

NPI #1063455608 in Meridian, Idaho

Provider Information

NPI Number
1063455608
Entity Type
Individual
Name
Lisa Marie Roper, B.S, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist
Credential
B.S, ATC, LAT
Enumeration Date
Jun 13, 2006
Last Updated
Dec 3, 2016

Practice Location

Address
1900 W PINE AVE
State
Idaho
ZIP Code
83642-1961
Phone
(208) 350-4160

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer
Specialist/Technologist

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