Individual
LAUREN COLTON HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
813 GREEN JACKET WAY, O FALLON, IL 62269-2590
(949) 547-1495
Mailing address
813 GREEN JACKET WAY, O FALLON, IL 62269-2590
(949) 547-1495
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209029880
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2022
Last updated
06/20/2024
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