Individual
LAUREN GINOCCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, CISSN
Contact information
Practice address
270 STADIUM DRIVE, BOONE, NC 28607
(828) 262-2528
Mailing address
355 OLD E KING ST APT 204C, BOONE, NC 28607-3220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2276
NC
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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