Individual
CHARLOTTE B. LAVERNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LAT, ATC
Contact information
Practice address
6101 RESEARCH FOREST DR, THE WOODLANDS, TX 77381-6028
(936) 709-1068
(936) 709-1068
Mailing address
411 TODD CT, SPRING, TX 77386-1245
(832) 316-3896
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0912
TX
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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