Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURA LEE FAFARA, ATC
ActiveLAURA LEE FAFARA, ATC is a Athletic Trainer healthcare provider located in HAYWARD, Wisconsin. NPI 1528131752 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · HAYWARD, WI
Registration Details
- NPI Number
- 1528131752
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 16, 2006 (19.55346969715 yrs)
- Last Updated
- Jul 8, 2007
- License
-
396-039 (WI)
Practice Information
- Address
-
11134 N STATE ROAD 77HAYWARD, WI, 548435325Browse WI providers · Browse ZIP 54843
- Phone
- 7156345505
- Fax
- 7156345558
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.