Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Bashir Murice Lauderdale

Individual provider Athletic Trainer · NPI 1609520352

Mr. Bashir Murice Lauderdale is an Athletic Trainer in Colonia, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

34 Candlewood Ct
Colonia, NJ 07067-1503
Phone: (732) 895-5965
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1609520352
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 10, 2022
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address34 Candlewood Ct, Colonia, NJ 07067-1503

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