Individual
LACI ELIZABETH LOURENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1361 QUINCY ST, ASHLAND, OR 97520-2235
(503) 833-2026
Mailing address
1361 QUINCY ST, ASHLAND, OR 97520-2235
(503) 833-2026
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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