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Individual

LAUREN RAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED, ATC

Contact information

Practice address
11130 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1735
(248) 462-5127
Mailing address
5034 STELLHORN RD, FORT WAYNE, IN 46815-5054
(248) 462-5127

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002352A
IN

Other

Enumeration date
03/25/2014
Last updated
03/02/2016
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