Provider Demographics
NPI:1952911141
Name:TRAMPOSCH, LUCI MARIE (LAT, ATC)
Entity type:Individual
Prefix:
First Name:LUCI
Middle Name:MARIE
Last Name:TRAMPOSCH
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:626 VALVERDA ST SW
Mailing Address - Street 2:
Mailing Address - City:SUPPLY
Mailing Address - State:NC
Mailing Address - Zip Code:28462-2196
Mailing Address - Country:US
Mailing Address - Phone:910-880-0754
Mailing Address - Fax:
Practice Address - Street 1:626 VALVERDA ST SW
Practice Address - Street 2:
Practice Address - City:SUPPLY
Practice Address - State:NC
Practice Address - Zip Code:28462-2196
Practice Address - Country:US
Practice Address - Phone:910-880-0754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLAT-46382255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer