Individual
MARIE LACZYNSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
289 LYNNE LN, MAPLEVILLE, RI 02839-1118
(401) 573-9114
Mailing address
289 LYNNE LN, MAPLEVILLE, RI 02839-1118
(401) 573-9114
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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