WAYNE STEPHEN LAURITZEN

GEORGETOWN, TX
NPI1063373934
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2025-11-20
Last Update Date2025-11-20
Business Address
WAYNE STEPHEN LAURITZEN LAT, ATC
115 COPPER LAKE LN
GEORGETOWN, TX 78628-7179
Phone number: 512-844-9330
Mailing Address
WAYNE STEPHEN LAURITZEN LAT, ATC
115 COPPER LAKE LN
GEORGETOWN, TX 78628-7179
Phone number: 512-844-9330