Individual
MRS. LAUREN BAKER GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
284 S LIBERTY ST, POWELL, OH 43065-7616
(614) 841-0050
Mailing address
4409 WARRENSBURG RD, DELAWARE, OH 43015-9522
(740) 816-3575
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.003937
OH
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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