Leeca Nicole Baran
Specialist/Technologist, Athletic Trainer in Memphis, TN. Individual provider (NPI-1).
NPI number1972016236
StatusActive
Last updated in NPPESOct 31, 2022
Details
- NPI
- 1972016236
- Entity type
- Individual (NPI-1)
- Name
- Leeca Nicole Baran
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2017
- Certification date
- Oct 31, 2022
- Last updated
- Oct 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 318191 | TN | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3050 Winchester RdMemphis, TN 38118-4860
Phone 901-224-0135
Mailing address
9455 Goodman Rd Apt F6Olive Branch, MS 38654-1718
Other practice locations
20 S Hollywood Blvd
Hazleton, PA 18202-8044
Hazleton, PA 18202-8044
Phone 570-436-6489
9455 Goodman Rd Apt F6
Olive Branch, MS 38654-1718
Olive Branch, MS 38654-1718
Phone 570-904-9275
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