Individual
ANGELINE LATHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 Y ST, APT #317, LINCOLN, NE 68508-1121
(913) 645-2450
Mailing address
6912 BROWNRIDGE DR, SHAWNEE, KS 66218-9606
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/10/2015
Last updated
07/05/2016
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