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Individual

MS. KRISTIN J. LAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., ATC, LAT

Contact information

Practice address
UCLA INTERCOLLEGIATE ATHLETICS, 175 MORGAN CENTER; BOX 951639, LOS ANGELES, CA 90095-1639
(310) 206-6107
Mailing address
302 S. VINE ST., P.O. BOX 254, ROLAND, IA 50236-0254
(515) 388-4681

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-1081
TX

Other

Enumeration date
06/29/2006
Last updated
07/08/2007
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