Individual
LAUREN M BURISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
111 W JEFFERSON BLVD STE 100, SOUTH BEND, IN 46601-1993
(574) 647-1670
Mailing address
2518 E EVERGREEN DR, WARSAW, IN 46582-8928
(765) 434-0384
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36003036A
IN
Other
Enumeration date
10/04/2019
Last updated
05/23/2020
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