Individual
AMANDA R LAUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 PALMYRA RD, HANNIBAL, MO 63401-1940
(785) 844-1902
Mailing address
612A CENTER ST, HANNIBAL, MO 63401-3441
(785) 844-1902
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
08/06/2021
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