Individual
LAUREN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
260 MELISON DR, PIKE ROAD, AL 36064-2569
(334) 549-1907
Mailing address
260 MELISON DR, PIKE ROAD, AL 36064-2569
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12739
AL
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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