Individual
LAUREN WEIKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1229 SUMAC LN, HOLT, MI 48842-8754
(717) 329-9284
Mailing address
1229 SUMAC LN, HOLT, MI 48842-8754
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001082
MI
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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