Individual
MR. ANTHONY ROBERT LAURENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8005 103RD AVE, PLEASANT PRAIRIE, WI 53158-2050
(262) 818-7955
Mailing address
8005 103RD AVE, PLEASANT PRAIRIE, WI 53158-2050
(262) 818-7955
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1469-39
WI
2255A2300X
Athletic Trainer
Primary
AT.004184
OH
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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