| NPI | 1255782728 |
|---|---|
| Other Name | LAUREN LACHANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA 2000006464) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |