Individual provider · Type 1 NPI

Lauraine Fosburgh

Athletic Trainer · Conway, AR

NPI number 1700784204 Active

Practice location

201 Donaghey Ave
Conway, AR 72035-5003

Mailing address

56 Blue Mountain Dr
Maumelle, AR 72113-6354

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Athletic Trainer Primary 2255A2300XNone listed

Athletic Trainer: Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanc…

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About NPI 1700784204

Lauraine Fosburgh's National Provider Identifier is 1700784204, issued on Oct 27, 2026. The primary taxonomy on file is Athletic Trainer (2255A2300X), and the practice location is in Conway, AR. The record was last updated on Oct 27, 2026.