| NPI | 1063950574 |
|---|---|
| Former Name | LAUREN RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MI 2601002630) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2025-10-17 |