Individual
MRS. MICHELLE MARIE LESPERANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
322419423
NC
2255A2300X
Athletic Trainer
0554
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATHLETIC TRAINER
NC
Enumeration date
03/08/2007
Last updated
07/29/2019
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