MS. Lisa Nicole Bengtson, MS, ATC, LAT
NPI #1568880375 in Storm Lake, Iowa
Provider Information
- NPI Number
- 1568880375
- Entity Type
- Individual
- Name
- MS. Lisa Nicole Bengtson, MS, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, ATC, LAT
- Enumeration Date
- Mar 31, 2014
- Last Updated
- Mar 31, 2014
Practice Location
- Address
- 610 W 4TH ST
- City
- Storm Lake
- State
- Iowa
- ZIP Code
- 50588-1713
- Phone
- (712) 749-2021
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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