Individual
ROSANNA MICHELLE EWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
LOUISIANA STATE UNIVERSITY, BATON ROUGE, LA 70803-0001
(225) 578-3202
Mailing address
101 LSU STUDENT UNION BUILDING, LSU BOX 20390, BATON ROUGE, LA 70803-0001
(970) 209-6550
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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