NPI 1134827058

Lavelle Wilson

Practitioner Athletic Trainer West Monroe, LA

Practice location

Address: 198 Parkway Cir, West Monroe, LA 71292-8032
Phone: (318) 600-4225

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Louisiana →

Registry record

NPI: 1134827058
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2023
Record last updated: 20 Feb 2023

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.