Individual
LAUREN FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4076 NEELY RD, FORT WAINWRIGHT, AK 99703
(907) 361-5172
Mailing address
4076 NEELY RD, FORT WAINWRIGHT, AK 99703
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
137186
AK
Other
Enumeration date
09/07/2018
Last updated
09/18/2023
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