Individual
LAUREN LOUISE WOOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 LOGAN BLVD, ALTOONA, PA 16602-3116
(814) 502-0163
Mailing address
203 LOGAN BLVD, ALTOONA, PA 16602-3116
(814) 502-0163
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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