Individual
LORRIE HETAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
154 LAKEMONT PARK BLVD, ALTOONA, PA 16602-5900
(814) 946-5411
(814) 940-8471
Mailing address
201 CHESTNUT AVE, ALTOONA, PA 16601-4927
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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