LAUREN A WILLIE

FORT BENNING, GA
NPI1356065270
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: GA  AT004188)
Enumeration Date2022-10-04
Last Update Date2022-10-04
Business Address
LAUREN A WILLIE LAT, ATC, MAT
6649 VIBBERT AVE
FORT BENNING, GA 31905-4464
Phone number: 251-716-2109
Mailing Address
LAUREN A WILLIE LAT, ATC, MAT
522 LEE ROAD 613
SMITHS STATION, AL 36877-2004
Phone number: 251-716-2109