MR. Bashir Murice Lauderdale
NPI #1609520352 in Colonia, New Jersey
Provider Information
- NPI Number
- 1609520352
- Entity Type
- Individual
- Name
- MR. Bashir Murice Lauderdale
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Feb 10, 2022
- Last Updated
- Feb 10, 2022
Practice Location
- Address
- 34 CANDLEWOOD CT
- City
- Colonia
- State
- New Jersey
- ZIP Code
- 07067-1503
- Phone
- (732) 895-5965
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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