Lanny Brian Lightfoot in Dacula - Athletic Trainer
Lanny Brian Lightfoot - NPI 1053596833
Lanny Brian Lightfoot is a Athletic Trainer in Dacula, Georgia. Lanny Brian Lightfoot practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Lanny Brian Lightfoot is 1053596833. The last update date is 2007-12-30.
Lanny Brian Lightfoot's current location address is 2098 Teron Trce Ste 300, Dacula, Georgia. You can contact this provider via phone number 7706144060. The mailing address for Lanny Brian Lightfoot is 2098 Teron Trce Ste 300, Dacula, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lanny Brian Lightfoot |
|---|---|
| Address | 2098 Teron Trce Ste 300, Dacula, Georgia |
| Phone Number | 7706144060 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1053596833 |
|---|---|
| Provider Enumeration Date | 2007-12-30 |
| Last Updated Date | 2007-12-30 |
Provider Mailing Address Detail
| Address | 2098 Teron Trce Ste 300 |
|---|---|
| City | Dacula |
| State | Georgia (GA) |
| Post Code | 300191667 |
| Phone Number | 7706144060 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Athletic Trainer |
|---|---|
| Taxonomy | 2255A2300X |
| Licence No | AT001451 |
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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 provider identifier assigned to Lanny Brian Lightfoot?
The Lanny Brian Lightfoot has been issued the NPI (National Provider Identifier) 1053596833 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Lanny Brian Lightfoot's physical address?
The Lanny Brian Lightfoot is physically located at 2098 Teron Trce Ste 300, in the city of Dacula, GA, with the postal code 300191667.
What is the area of specialization for Lanny Brian Lightfoot, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lanny Brian Lightfoot is Athletic Trainer, and the corresponding taxonomy code that categorizes this area of expertise is 2255A2300X.
On what date did the Lanny Brian Lightfoot receive its 1053596833 assignment from the Centers for Medicare & Medicaid Services?
The Lanny Brian Lightfoot was assigned its 1053596833 by the Centers for Medicare & Medicaid Services on 2007-12-30.
As of what date were the Lanny Brian Lightfoot's details last updated?
The information pertaining to the Lanny Brian Lightfoot, including its address, specialty, and other details, was most recently updated on 2007-12-30.
NPI Number: 1194728337
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