Derek Lawrance, ATC

Individual provider Active NPI Athletic Trainer · Elon, NC

NPI 1669622684 · NPPES record last updated Sep 26, 2008

Key facts

NPI
1669622684
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
2500 Campus Box
Elon, NC 27244
Phone
(336) 278-6800
Fax
(336) 278-6767
NPI assigned
Sep 26, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Elon University Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

2500 Campus Box
Elon, NC 27244

Mailing address

2500 Campus Box
Elon, NC 27244
Phone (336) 278-6800

Other providers in Elon, NC

All providers in Elon, NC · Athletic Trainer in North Carolina

Sources for this page

Verify at the official NPI Registry.