Lisa L Conroy is a Athletic Trainer in Moodus, Connecticut. Lisa L Conroy practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Lisa L Conroy is 1730372418. The last update date is 2011-08-08.
Lisa L Conroy's current location address is 10 Westwood Dr, Moodus, Connecticut. You can contact this provider via phone number 8608732073. The mailing address for Lisa L Conroy is 10 Westwood Dr, Moodus, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa L Conroy |
|---|---|
| Address | 10 Westwood Dr, Moodus, Connecticut |
| Phone Number | 8608732073 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | ATC, LAT |
NPI Number Detail
| NPI Number | 1730372418 |
|---|---|
| Provider Enumeration Date | 2007-08-24 |
| Last Updated Date | 2011-08-08 |
Provider Mailing Address Detail
| Address | 10 Westwood Dr |
|---|---|
| City | Moodus |
| State | Connecticut (CT) |
| Post Code | 64691246 |
| Phone Number | 8608732073 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | 161 |
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Definition: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve |
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What is the unique 10-digit identifier code issued to Lisa L Conroy by the Centers for Medicare & Medicaid Services?
The Lisa L Conroy has been assigned the NPI (National Provider Identifier) 1730372418 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Lisa L Conroy is physically located?
The Lisa L Conroy is situated at the following address: 10 Westwood Dr, Moodus, CT 64691246.
What is the area of specialization for Lisa L Conroy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa L Conroy is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of expertise is 2255A2300X.
On what date did the Lisa L Conroy receive its 1730372418 assignment from the Centers for Medicare & Medicaid Services?
The Lisa L Conroy was assigned its 1730372418 by the Centers for Medicare & Medicaid Services on 2007-08-24.
As of what date were the details related to Lisa L Conroy most recently updated or revised?
The information pertaining to Lisa L Conroy, including its address, specialty, and other relevant details, was last updated or revised on 2011-08-08.