Gwenn Lanouette, MS, ATC, OTC
Specialist/Technologist, Athletic Trainer in Lowell, MA. Individual provider (NPI-1).
NPI number1285352344
StatusActive
Last updated in NPPESAug 16, 2022
Details
- NPI
- 1285352344
- Entity type
- Individual (NPI-1)
- Name
- Gwenn Lanouette
- Credential
- MS, ATC, OTC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2022
- Certification date
- Aug 16, 2022
- Last updated
- Aug 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 000878 | CT | Yes |
Practice location
295 Varnum AveLowell, MA 01854-2193
Phone 978-937-6417
Mailing address
16 Gove RdBillerica, MA 01821-1319
Phone 203-592-2191
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