Individual
ANDREW LEROUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4068 FIELDHOUSE DR, COLLEGE PARK, MD 20742-0001
(240) 825-5159
Mailing address
4068 FIELDHOUSE DR, COLLEGE PARK, MD 20742-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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