Individual
LORENA GALVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1004 N LINCOLN ST, BEAVER DAM, WI 53916-1767
(920) 319-2576
Mailing address
1004 N LINCOLN ST, BEAVER DAM, WI 53916-1767
(920) 319-2576
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3227-39
WI
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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