SearchGeorgia2255A2300X

Lauren Brueck, ATC, LAT

NPI 1982092169 · on the registry since 2014 · sole proprietor

Practice

Address
1218 Walton Ln Se
Smyrna, GA 30082
Phone
(734) 536-2730

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-12-22

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 Georgia