Lauren Amanda Ghriga

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · University Park, PA

NPI 1104419746 · NPPES record last updated Feb 15, 2021

Key facts

NPI
1104419746
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
146 Recreation BLDG
University Park, PA 16802-5700
Phone
(609) 389-4657
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes
Athletic Trainer 2255A2300X

Addresses

Primary practice location

146 Recreation BLDG
University Park, PA 16802-5700

Mailing address

710 Pensacola Rd
Forked River, NJ 08731-5314
Phone (609) 389-4657

Other providers in University Park, PA

All providers in University Park, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania

Sources for this page

Verify at the official NPI Registry.