Individual
DANIELLE MICHELLE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1164 FARNHAM ST, COLUMBUS, WI 53925-1804
(608) 334-9016
Mailing address
309 ERIN CT, COTTAGE GROVE, WI 53527-8107
(608) 334-9016
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1056-39
WI
Other
Enumeration date
10/24/2017
Last updated
03/17/2018
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