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Lauren Self
NPI 1407192081 · on the registry since 2012
Practice
- Address
- 1000 Asu Dr
#510
Lorman, MS 39096 - Phone
- (601) 877-2483
- Fax
- (601) 877-3821
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-12-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi