Individual
DEREK CALVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
LSU ATHLETIC ADMINISTRATION BUILDING, ATHLETIC TRAINING ROOM, BATON ROUGE, LA 70803
(225) 578-2050
(225) 578-3924
Mailing address
LSU ATHLETIC ADMINISTRATION BUILDING, ATHLETIC TRAINING ROOM, BATON ROUGE, LA 70803
(225) 578-2050
(225) 578-3924
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200344
LA
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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