Individual
LAUREN KOONTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 SUMMIT CROSSING PL STE 208, GASTONIA, NC 28054-2142
(980) 329-6032
Mailing address
640 SUMMIT CROSSING PL STE 208, GASTONIA, NC 28054-2142
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3598
NC
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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