Individual
MRS. LAUREN NICHOLE GOFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, EMT-B
Contact information
Practice address
810 E COLUMBIA AVE, READING, OH 45215-3997
(513) 526-0981
Mailing address
1219 THURNRIDGE DR, READING, OH 45215-3941
(937) 260-2881
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004059
OH
Other
Enumeration date
01/05/2015
Last updated
10/23/2020
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