National Provider Identifier
Lauren Elizabeth Rudolph, MS, LAT, ATC
Lauren Elizabeth Rudolph, MS, LAT, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (774) 571-3884.
Profile Overview
- NPI
- 1497396089
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- October 04, 2019
- Last Updated
- August 09, 2024
Practice Location
- 521 Campus RD
- Ithaca, NY 14853-6007
Phone: (774) 571-3884
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1497396089
- Entity Type
- Individual
- Last Name
- Rudolph
- First Name
- Lauren
- Middle Name
- Elizabeth
- Credential
- MS, LAT, ATC
- Mailing Street Address
- 521 Campus RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14853-6007
- Mailing Country
- US
- Mailing Phone
- (774) 571-3884
- Practice Street Address
- 521 Campus RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14853-6007
- Practice Country
- US
- Practice Phone
- (774) 571-3884
- Enumeration Date
- October 04, 2019
- Last Updated
- August 09, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 09, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)