Individual
LAUREN MOBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DAT, LAT, ATC
Contact information
Practice address
2323 N SHEFFIELD AVE, CHICAGO, IL 60614-3290
(762) 447-1583
Mailing address
2323 N SHEFFIELD AVE, CHICAGO, IL 60614-3290
(763) 447-1583
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL5968
FL
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2018
Last updated
07/08/2022
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