Ginger A Lavalle, MA, LAT, ATC

NPI #1114931193 in Magnolia, Arkansas

Provider Information

NPI Number
1114931193
Entity Type
Individual
Name
Ginger A Lavalle, MA, LAT, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MA, LAT, ATC
Enumeration Date
Jul 28, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
100 E UNIVERSITY
ZIP Code
71753-2181
Phone
(870) 235-5229

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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