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Individual

LAUREN HEISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4809 N ARMENIA AVE, SUITE 200, TAMPA, FL 33603-1447
(813) 877-1930
Mailing address
2711 LAKEVILLE DR, TAMPA, FL 33618-1101

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3916
FL

Other

Enumeration date
09/16/2014
Last updated
09/16/2014
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