Individual
MRS. LAURALEE VIRGINIA HATLELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LAT, ATC, CEAS
Contact information
Practice address
6428 BOWER DR, INDIANAPOLIS, IN 46241-1861
(217) 855-2757
Mailing address
6428 BOWER DR, INDIANAPOLIS, IN 46241-1861
(217) 855-2757
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002460A
IN
Other
Enumeration date
02/04/2015
Last updated
08/12/2019
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