Individual
COLLEEN LEIGH LAURENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, DO
Contact information
Practice address
4461 STATE ROUTE 159 STE A, CHILLICOTHE, OH 45601-6000
(740) 779-4900
Mailing address
4461 STATE ROUTE 159 STE A, CHILLICOTHE, OH 45601-6000
(740) 779-4900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.015550
OH
2255A2300X
Athletic Trainer
096.002978
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
02/16/2012
Last updated
05/27/2023
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