Individual
KIRSTEN LOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8400 PADDOCK CT, MENTOR, OH 44060
(440) 856-5381
Mailing address
8400 PADDOCK CT, MENTOR, OH 44060-7650
(440) 856-5381
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005688
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/06/2015
Last updated
08/01/2018
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