MS. Lauren A Self
NPI #1407192081 in Lorman, Mississippi
Provider Information
- NPI Number
- 1407192081
- Entity Type
- Individual
- Name
- MS. Lauren A Self
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Dec 30, 2012
- Last Updated
- Dec 30, 2012
Practice Location
- Address
- 1000 ASU DR
- Address 2
- #510
- City
- Lorman
- State
- Mississippi
- ZIP Code
- 39096-7500
- Phone
- (601) 877-2483
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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