Individual provider · Type 1 NPI
Lauren M. Roethlisberger
Student in an Organized Health Care Education/Training Program · Ashwaubenon, WI
NPI number
1467919464
Active
Practice location
1115 April Ln
Ashwaubenon, WI 54304-4103
Other practice locations
- 1115 April Ln, Ashwaubenon, WI 54304-4103 · (920) 321-8789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1467919464
Lauren M. Roethlisberger's National Provider Identifier is 1467919464, issued on Feb 26, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ashwaubenon, WI. The record was last updated on Feb 26, 2019.