Individual
JONATHAN MICHAEL LAING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2000 PENNINGTON RD, EWING, NJ 08618-1104
(609) 771-3402
Mailing address
207 MAIN ST, DARBY, PA 19023-2619
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT195600
NJ
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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