MR. Lyle Everett Board, ATC, CSCS

NPI #1962440404 in Baton Rouge, Louisiana

Provider Information

NPI Number
1962440404
Entity Type
Individual
Name
MR. Lyle Everett Board, ATC, CSCS
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Specialist/Technologist
Credential
ATC, CSCS
Enumeration Date
Jun 4, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
8080 BLUEBONNET BLVD
ZIP Code
70810-7827
Phone
(225) 408-7990

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist

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