Individual
JOSHUA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1603 3RD AVE SE, ALTOONA, IA 50009-2074
(319) 350-4041
Mailing address
1603 3RD AVE SE, ALTOONA, IA 50009-2074
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000849
IA
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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