Individual
HEATHER HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
937 FRANKLIN BLVD, LEMOORE, CA 93246-4700
(559) 998-4262
Mailing address
937 FRANKLIN BLVD, LEMOORE, CA 93246-4700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
PSYCHIATRY
VA
2084P0802X
Addiction Psychiatry Physician
0101250175
VA
Other
Enumeration date
06/14/2010
Last updated
07/12/2023
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