Ivan Lionel, AT
Ivan Lionel, AT is an Athletic Trainer in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2022
Practice location Address checks out
2643 Concan StSan Antonio, TX 78251-1714
Phone: (512) 689-8273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence AT2442 (TX) |
|---|
Record details
| NPI number | 1790430171 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | AT |
| Sole proprietor | Yes |
| NPI enumerated | February 15, 2022 |
| Last updated in NPPES | February 15, 2022 |
| Certification date | February 15, 2022 |
| Mailing address | 2643 Concan St, San Antonio, TX 78251-1714 |
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