Individual
LAUREN JANIE PALSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3036 RED BARN RD, CRYSTAL LAKE, IL 60012-1022
(815) 527-1092
Mailing address
3036 RED BARN RD, CRYSTAL LAKE, IL 60012-1022
(815) 527-1092
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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