Individual
WAYNE STEPHEN LAURITZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
115 COPPER LAKE LN, GEORGETOWN, TX 78628-7179
(512) 844-9330
Mailing address
115 COPPER LAKE LN, GEORGETOWN, TX 78628-7179
(512) 844-9330
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/20/2025
Last updated
11/20/2025
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