Individual
DANA LYNN JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3335 EAST AVE S, APT. 225, LA CROSSE, WI 54601-7247
(262) 902-8692
Mailing address
3335 EAST AVE S, APT. 225, LA CROSSE, WI 54601-7247
(262) 902-8692
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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