Individual
LAUREN ANNE STACHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2441 ANCIENT DR SW, WYOMING, MI 49519-4504
(616) 745-7406
Mailing address
2441 ANCIENT DR SW, WYOMING, MI 49519-4504
(616) 745-7406
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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