Individual
LAUREN DYBWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2605 N WICKERSHAM DR, MUNCIE, IN 47304-9226
(765) 717-9383
Mailing address
2605 N WICKERSHAM DR, MUNCIE, IN 47304-9226
(765) 717-9383
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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