Individual
LAUREN SCOVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 SPRING ST, RED BUD, IL 62278-1105
(618) 282-5172
Mailing address
325 SPRING ST, RED BUD, IL 62278-1105
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.003697
IL
2255A2300X
Athletic Trainer
2014030836
MO
Other
Enumeration date
03/13/2015
Last updated
04/20/2015
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