Lisa Bland, MA, ATC, LAT

Individual provider Active NPI Athletic Trainer · Murfreesboro, NC

NPI 1124413240 · NPPES record last updated Apr 6, 2015

Key facts

NPI
1124413240
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
License
1016 (NC)
Practice address
1 University PL
Murfreesboro, NC 27855-1855
Phone
(252) 398-6458
NPI assigned
Apr 6, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1016NCMDAddiction (Substance Use Disorder) Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 1016 NC Yes

Addresses

Primary practice location

1 University PL
Murfreesboro, NC 27855-1855

Mailing address

1 University PL
Murfreesboro, NC 27855-1855

Other providers in Murfreesboro, NC

All providers in Murfreesboro, NC · Athletic Trainer in North Carolina

Sources for this page

Verify at the official NPI Registry.