Lance Jacob Jordan, ATC
NPI #1861187106 in Mountain Brk, Alabama
Provider Information
- NPI Number
- 1861187106
- Entity Type
- Individual
- Name
- Lance Jacob Jordan, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Apr 11, 2023
- Last Updated
- Apr 11, 2023
Practice Location
- Address
- 3650 BETHUNE DR
- City
- Mountain Brk
- State
- Alabama
- ZIP Code
- 35223-1420
- Phone
- (205) 903-8496
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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