IndividualActive
Bashir Lauderdale
NPI 1609520352 · Athletic Trainer · Colonia, NJ
Provider details
- NPI number
- 1609520352
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Mailing address
34 Candlewood Ct
Colonia, NJ 07067-1503
Registry dates
- Enumerated
- 2022-02-10
- Last updated
- 2022-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.