Individual
LYDIA MARGARET VARISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
HUEY P LONG FIELD HOUSE LOUISIANA STATE UNIVERSITY, BATON ROUGE, LA 70803-0001
(225) 505-5020
Mailing address
18775 FABACHER DR, PRAIRIEVILLE, LA 70769-4550
(225) 505-5020
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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