Individual
DANIEL ROBERT LABERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
904 WHITE LN, NEW LENOX, IL 60451-3332
(815) 546-4033
Mailing address
904 WHITE LN, NEW LENOX, IL 60451-3332
(815) 546-4033
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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