Individual
MS. LAUREN ANNE BRUECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1218 WALTON LN SE, SMYRNA, GA 30082-3873
(734) 536-2730
Mailing address
1218 WALTON LN SE, SMYRNA, GA 30082-3873
(734) 536-2730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002284
GA
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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