Individual
LAUREN HITZEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3946 ICE WAY, FORT WAYNE, IN 46808
(260) 385-1575
Mailing address
3946 ICE WAY, FORT WAYNE, IN 46808
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
12/04/2024
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