MISS Louanne Marie Jefferson, ATC

NPI #1093859977 in East Lansing, Michigan

Provider Information

NPI Number
1093859977
Entity Type
Individual
Name
MISS Louanne Marie Jefferson, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Feb 16, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
MICHIGAN STATE UNIVERSITY DEPT OF ATHLETICS
Address 2
#131 DUFFY DAUGHERTY FB BLDG
ZIP Code
48824-1214
Phone
(517) 353-4369

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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