Jennifer Lynn Luper-Lark, ATC
NPI #1548790348 in Fort Thompson, South Dakota
Provider Information
- NPI Number
- 1548790348
- Entity Type
- Individual
- Name
- Jennifer Lynn Luper-Lark, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jun 14, 2017
- Last Updated
- Jun 14, 2017
Practice Location
- Address
- 1323 BIA ROUTE 4
- City
- Fort Thompson
- State
- South Dakota
- ZIP Code
- 57339
- Phone
- (605) 245-1621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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