Individual
LAURIE HOSTETLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 HERITAGE DR, OAK RIDGE, TN 37830-7989
(865) 207-7742
Mailing address
124 HERITAGE DR, OAK RIDGE, TN 37830-7989
(865) 207-7742
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1000000015861
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q013380
—
TN
Enumeration date
07/13/2015
Last updated
07/13/2015
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