RICHARD MARK LAURSEN

BOSTON, MA
NPI1265568539
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA  1091)
Enumeration Date2007-02-23
Last Update Date2007-07-08
Business Address
-- RICHARD MARK LAURSEN ATC
285 BABCOCK ST
BOSTON, MA 02215-1003
Phone number: 617-353-2476
Mailing Address
-- RICHARD MARK LAURSEN ATC
635 COMMONWEALTH AVE
BOSTON, MA 02215-1605
Phone number: 617-353-7570