Individual
LAUREN EASTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
270 FARMINGTON AVE, SUITE 152, FARMINGTON, CT 06032-1909
(860) 677-6067
Mailing address
270 FARMINGTON AVE, SUITE 152, FARMINGTON, CT 06032-1909
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000936
CT
Other
Enumeration date
04/04/2016
Last updated
11/20/2017
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