Individual
LAUREN TERESE WILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STUDENT
Contact information
Practice address
16262 DEMPSEY RD, LEAVENWORTH, KS 66048
(913) 777-8378
Mailing address
16262 DEMPSEY RD, LEAVENWORTH, KS 66048
(913) 777-8378
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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