Individual
MISS LISA MARIE HAUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
532 REVERE DR, TURNERSVILLE, NJ 08012-1253
(856) 981-4468
Mailing address
532 REVERE DR, TURNERSVILLE, NJ 08012-1253
(856) 981-4468
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000063
PA
Other
Enumeration date
03/17/2019
Last updated
03/17/2019
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