Lacey Shifflett

NPI #1366817157 in Covington, Virginia

Provider Information

NPI Number: 1366817157
Entity Type: Individual
Name: Lacey Shifflett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 5, 2015
Last Updated: Dec 5, 2015

Practice Location

Address: 307 SPRINGWATER RD
City: Covington
State: Virginia
ZIP Code: 24426-5716
Phone: (540) 968-6199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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