Individual
LAWRENCE CARL GAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
7575 5 MILE RD, CINCINNATI, OH 45230-4346
(513) 233-4360
Mailing address
4701 CREEK RD, SUITE 110, BLUE ASH, OH 45242-8398
(513) 733-9333
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.003376
OH
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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