Individual
MICHAELA LAWLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 WHEAT ST, COLUMBIA, SC 29208-0001
(779) 435-9617
Mailing address
1300 WHEAT ST, COLUMBIA, SC 29208-0001
(779) 435-9617
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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