Individual
LAUREN DURANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LAT ATC
Contact information
Practice address
4652 WILLOW PASS, OREGON, WI 53575-2247
(630) 272-1148
Mailing address
4652 WILLOW PASS, OREGON, WI 53575-2247
(630) 272-1148
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1584-39
WI
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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