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NPI Code Detail

MEDICARE: LAURA B HOSKINS ATC

MEDICARE:   LAURA B HOSKINS  ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer0126001210VA

General Provider Information

NPI Number : 1215281530
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA B HOSKINS ATC
Provider Business Mailing Address
First Line : 403 WESSEX RD
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501-4086
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1971 UNIVERSITY BLVD
Second Line :
City : LYNCHBURG
State : VA
Zip : 24502-2269
Country : US
Telephone Number : 434-582-2744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2012
Last Update Date : 11/08/2012

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Directions to “ LAURA B HOSKINS ATC” Practice Location

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