NPI 1093123408

Charles Alan Lollar, ATC

Practitioner Athletic Trainer Murray, KY

Practice location

Address: 217 Stewart Stadium, Murray, KY 42071-3351
Phone: (270) 809-6858
Fax: (270) 809-4320

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT049 (KY)

Other Specialist/Technologist providers in Kentucky →

Registry record

NPI: 1093123408
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2014
Record last updated: 29 Jul 2014

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.