MISS Lara Alane Edwards, MAT, ATC, LAT
NPI #1255690525 in Livingston, Alabama
Provider Information
- NPI Number
- 1255690525
- Entity Type
- Individual
- Name
- MISS Lara Alane Edwards, MAT, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MAT, ATC, LAT
- Enumeration Date
- May 8, 2012
- Last Updated
- May 8, 2012
Practice Location
- Address
- 1 COLLEGE DR
- Address 2
- STATION 14
- City
- Livingston
- State
- Alabama
- ZIP Code
- 35470-2098
- Phone
- (205) 652-3450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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