Individual
LAUREN K HAGGERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
22317 DUPONT BLVD, GEORGETOWN, DE 19947
(302) 448-1332
Mailing address
37578 WORCESTER DRIVE, REHOBOTH BEACH, DE 19971-4050
(302) 448-1332
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J1-0002468
DE
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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