Provider Demographics
NPI:1689014326
Name:STRONG, LORNA (ATC, LAT)
Entity Type:Individual
Prefix:
First Name:LORNA
Middle Name:
Last Name:STRONG
Suffix:
Gender:F
Credentials:ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 LUNDY LN
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-3808
Mailing Address - Country:US
Mailing Address - Phone:806-356-6322
Mailing Address - Fax:
Practice Address - Street 1:2342 RUSSELL LONG BLVD
Practice Address - Street 2:VIRGIL HENSON ACTIVITIES CENTER 217
Practice Address - City:CANYON
Practice Address - State:TX
Practice Address - Zip Code:79016-0001
Practice Address - Country:US
Practice Address - Phone:806-651-2382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-26
Last Update Date:2013-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT11352255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer