Healthcare Provider Details

I. General information

NPI: 1801500434
Provider Name (Legal Business Name): LAUREN M HOTCHKISS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 01/09/2023
Certification Date: 01/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 VICTORIA ST
PITTSBURGH PA
15213-2543
US

IV. Provider business mailing address

334 S NEGLEY AVE APT 4
PITTSBURGH PA
15232-1117
US

V. Phone/Fax

Practice location:
  • Phone: 412-624-4586
  • Fax: 412-624-2409
Mailing address:
  • Phone: 724-599-8193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number802555
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN684179
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: