Lauren Mishel Minnick, MS ATC
Specialist/Technologist, Athletic Trainer in Victorville, CA. Individual provider (NPI-1).
NPI number1194175166
StatusActive
Last updated in NPPESJun 20, 2016
Details
- NPI
- 1194175166
- Entity type
- Individual (NPI-1)
- Name
- Lauren Mishel Minnick
- Credential
- MS ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 20, 2016
- Last updated
- Jun 20, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2000023562 | CA | Yes |
Practice location
16500 Mojave DrVictorville, CA 92395-3822
Phone 760-792-0861
Mailing address
12531 El Dorado PlVictorville, CA 92392-8063
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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