Individual
LAUREN M ROETHLISBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 APRIL LN, ASHWAUBENON, WI 54304-4103
(920) 321-8789
Mailing address
1115 APRIL LN, ASHWAUBENON, WI 54304-4103
(920) 321-8789
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MN
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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