Individual
LAUREN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
501 6TH ST, LEWISTOWN, PA 17044-1200
(717) 447-2612
Mailing address
323 UNITY CEMETERY RD, LATROBE, PA 15650-5336
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005526
PA
Other
Enumeration date
12/29/2014
Last updated
07/09/2015
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