Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER LYNN LUPER-LARK, ATC
ActiveJENNIFER LYNN LUPER-LARK, ATC is a Athletic Trainer healthcare provider located in FORT THOMPSON, South Dakota. NPI 1548790348 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · FORT THOMPSON, SD
Registration Details
- NPI Number
- 1548790348
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2017 (9.1472719796283 yrs)
- Last Updated
- Jun 14, 2017
- License
-
0490 (SD)
Practice Information
- Address
-
1323 BIA ROUTE 4FORT THOMPSON, SD, 57339Browse SD providers · Browse ZIP 57339
- Phone
- 6052451621
- 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.