Individual
MRS. LAUREN DIANE BAUMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1300 EGG HARBOR RD., SUITE 108, STURGEON BAY, WI 54235-1277
(920) 746-0410
(920) 746-0244
Mailing address
1300 EGG HARBOR RD., SUITE 108, STURGEON BAY, WI 54235-1277
(920) 746-0410
(920) 746-0244
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1261-39
WI
Other
Enumeration date
08/15/2011
Last updated
11/10/2015
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