NPI 1023267788

Antonio Lora, MSATCPES

Practitioner Athletic Trainer South Burlington, VT

Practice location

Address: 192 Tilley Dr Mail Stop 4380 C1, South Burlington, VT 05403-4440
Phone: (802) 847-7001
Mailing address: 192 Tilley Dr, South Burlington, VT 05403-4440

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 104-0000135 (VT)

Other Specialist/Technologist providers in Vermont →

Registry record

NPI: 1023267788
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Sep 2008
Record last updated: 2 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.