Lauren Hitzeman, ATC
Specialist/Technologist, Athletic Trainer in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1679080238
StatusActive
Last updated in NPPESDec 4, 2024
Details
- NPI
- 1679080238
- Entity type
- Individual (NPI-1)
- Name
- Lauren Hitzeman
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 4, 2018
- Certification date
- Dec 4, 2024
- Last updated
- Dec 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
3946 Ice WayFort Wayne, IN 46808
Phone 260-385-1575
Mailing address
3946 Ice WayFort Wayne, IN 46808
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