Individual
JEREMY MICHAEL PLANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 NORTH STADIUM DRIVE, LSU ATHLETIC TRAINING, BATON ROUGE, LA 70802
(401) 316-4068
Mailing address
4194 BURBANK DR APT 513B, BATON ROUGE, LA 70808-6242
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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