Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LAURA STAR
Active Sole ProprietorLAURA STAR is a Athletic Trainer healthcare provider located in LAKE NEBAGAMON, Wisconsin. NPI 1689204257 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · LAKE NEBAGAMON, WI
Registration Details
- NPI Number
- 1689204257
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 22, 2020 (6.4143385825231 yrs)
- Last Updated
- Jan 22, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
8190 S GIFFIN LNLAKE NEBAGAMON, WI, 548499049Browse WI providers · Browse ZIP 54849
- Phone
- 2185904060
- 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.