Individual
LAURA VENCILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1971 UNIVERSITY BLVD, LYNCHBURG, VA 24515-0002
(804) 994-4126
Mailing address
800 WYNDHURST DR, APT 3, LYNCHBURG, VA 24502-2974
(804) 994-4126
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002429
VA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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