Individual
GWENN LANOUETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, OTC
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2193
(978) 937-6417
Mailing address
16 GOVE RD, BILLERICA, MA 01821-1319
(203) 592-2191
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000878
CT
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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