Individual
LAUREN TERPAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 VIRBITSKY RD, SCOTT TOWNSHIP, PA 18433-7909
(570) 267-7745
Mailing address
16 VIRBITSKY RD, SCOTT TOWNSHIP, PA 18433-7909
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
003249-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/19/2015
Last updated
11/05/2016
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