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NPI Code Detail

MEDICARE: LAUREN HATHCOCK D.C.

MEDICARE: LAUREN HATHCOCK D.C.
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
1111N00000XChiropractor4533NC

General Provider Information

NPI Number : 1518344969
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN HATHCOCK D.C.
Provider Business Mailing Address
First Line : 4535 CHARLIE HIPP RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28214-8533
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5344 CENTRAL AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-2704
Country : US
Telephone Number : 704-747-5585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2015
Last Update Date : 05/05/2015

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Directions to “ LAUREN HATHCOCK D.C.” Practice Location

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