Individual
GINGER A LAVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAT, ATC
Contact information
Practice address
100 E UNIVERSITY, MAGNOLIA, AR 71753-2181
(870) 235-5229
Mailing address
PO BOX 9352, 100 E UNIVERSITY, MAGNOLIA, AR 71754-9352
(870) 235-5229
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
347
AR
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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