Individual
LAURA HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3811 OLIVE LN, LAFAYETTE, IN 47909-9141
(765) 418-9953
Mailing address
3811 OLIVE LN, LAFAYETTE, IN 47909-9141
(765) 418-9953
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000329A
IN
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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