Individual
LAUREN PATRICE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 BROOKWOOD DR, BETHEL, CT 06801-1503
(203) 300-4011
Mailing address
4 BROOKWOOD DR, BETHEL, CT 06801-1503
(203) 300-4011
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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