Individual
LAUREN SHAKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
110105 PIONEER TRL W # 201, CHASKA, MN 55318-2680
(952) 512-2470
Mailing address
2623 HAMLIN AVE SE, BUFFALO, MN 55313-4611
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3216
MN
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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