Provider Demographics
NPI:1326510413
Name:LINN, LAUREN E (MS, LAT, ATC, PES)
Entity Type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:E
Last Name:LINN
Suffix:
Gender:F
Credentials:MS, LAT, ATC, PES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 SIEBER RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:PA
Mailing Address - Zip Code:15026-1345
Mailing Address - Country:US
Mailing Address - Phone:412-916-6214
Mailing Address - Fax:
Practice Address - Street 1:155 SIEBER RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:PA
Practice Address - Zip Code:15026-1345
Practice Address - Country:US
Practice Address - Phone:412-916-6214
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-30
Last Update Date:2018-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0046782255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer