Individual
MS. LAUREN ANNE MACGILLIVRAY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.T., C
Contact information
Practice address
63 FEDERAL RD, BARRINGTON, RI 02806-2407
(603) 686-0149
Mailing address
63 FEDERAL RD, BARRINGTON, RI 02806-2407
(603) 686-0149
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00225
RI
Other
Enumeration date
06/16/2006
Last updated
07/08/2007
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