Individual
LAUREN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12233 SPECTRUM, IRVINE, CA 92618-3404
(814) 441-7391
Mailing address
12233 SPECTRUM, IRVINE, CA 92618-3404
(814) 441-7391
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
31796789
PA
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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