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Organization

LAUREN W. HARTING MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KELLY A. WOLOSZYN (BILLING MANAGER)
(219) 942-8518
Entity
Organization

Contact information

Practice address
1356 S LAKE PARK AVE, HOBART, IN 46342-5964
(219) 942-8518
(219) 947-2751
Mailing address
1356 S LAKE PARK AVE, HOBART, IN 46342-5964
(219) 942-8518
(219) 947-2751

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01059320A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000550461
ANTHEM
IN
Enumeration date
10/10/2007
Last updated
04/24/2008
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