Individual
LORELEI KOTWASINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3410 BEARDSHEAR HALL, AMES, IA 50011-0001
(515) 460-5810
Mailing address
3833 S 57TH AVE, CICERO, IL 60804-4304
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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