Individual
MEGAN LOTARSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 COPPER CT, BOLINGBROOK, IL 60440
(630) 605-9497
Mailing address
6 COPPER CT, BOLINGBROOK, IL 60440
(630) 605-9497
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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