Individual
LAUREN ELIZABETH HATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
875 PERIMETER DR # MS 2401, MOSCOW, ID 83844-9803
(208) 885-1022
Mailing address
9235 ASHBURN CT, HIGHLANDS RANCH, CO 80130-4181
(303) 717-5468
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
ID
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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