Individual
LAUREN FIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 MOUNTAINSIDE DR, STANARDSVILLE, VA 22973-2423
(434) 760-3458
Mailing address
8909 EUCLID AVE, MANASSAS, VA 20111-2498
(434) 760-3458
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003205
VA
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/20/2015
Last updated
03/22/2021
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