Individual
MR. JOHN MIKE DAWSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LAT,ATC
Contact information
Practice address
1432 S COLLEGE RD, LAFAYETTE, LA 70503-2912
(337) 232-7080
Mailing address
401 COURTNEY DR, DUSON, LA 70529-4417
(337) 406-2782
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.J00204
LA
Other
Enumeration date
10/06/2005
Last updated
07/08/2007
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