Individual
LAUREN CROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7000
Mailing address
40 THE LN, IRVINGTON, VA 22480-2208
(804) 370-4363
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001672
VA
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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