Individual
LUCAS KLAWITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
109 WILSON AVE, MORGANTOWN, WV 26501-7521
(304) 291-9260
Mailing address
5000 STATION ST, APT 323, MORGANTOWN, WV 26508-7442
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001394
WV
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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