Individual
LAUREN PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
117 OAK RIDGE AVE, APT.D, DONALDSONVILLE, LA 70346-4367
(225) 323-4199
Mailing address
117 OAK RIDGE AVE, APT.D, DONALDSONVILLE, LA 70346-4367
(225) 323-4199
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATH.200264
LA
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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