NPI 1124531066

Brandon Lyons, ATC

Practitioner Athletic Trainer Normal, AL

Practice location

Address: 4900 Meridian St NW, Normal, AL 35762-7500
Phone: (256) 372-5000
Mailing address: PO Box 1597, Normal, AL 35762-1597

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2077 (AL)

Other Specialist/Technologist providers in Alabama →

Registry record

NPI: 1124531066
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Nov 2017
Record last updated: 14 Nov 2017

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.