Individual
LAUREN LOYALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
215 CENTRAL AVE STE 201, LOUISVILLE, KY 40208-1451
(502) 637-7678
Mailing address
CPO 2172, BEREA, KY 40404-9801
(859) 985-4156
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5743-6674-5708
NREMT
—
Enumeration date
01/29/2019
Last updated
10/25/2023
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