Active NPIIndividual provider

Lauren Hodge, ATC

Specialist/Technologist, Athletic Trainer in Ellington, Connecticut

NPI Number1013559657
Practice location
12 Main St Ste 7, Ellington, CT 06029-3361
Fax
—
Last updated
June 8, 2020

Lauren Hodge is a Specialist/Technologist, Athletic Trainer based in Ellington, CT. Lauren Hodge practices in Ellington, CT and has the professional credentials of ATC. The NPI Number for Lauren Hodge is 1013559657 and holds a License No. 001243 (CT). The current practice location address for Lauren Hodge is 12 Main St Ste 7, Ellington, CT 06029-3361 and can be reached out via phone at 860-872-7500.

Provider Profile Details

NPI Number
1013559657
Provider Name
Lauren Hodge
Credential
ATC
Provider Entity Type
Individual
Gender
Female
Address
12 Main St Ste 7, Ellington, CT 06029-3361
Phone Number
860-872-7500
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
No
Provider Enumeration Date
October 15, 2019
Last Update Date
June 8, 2020
Certification Date
June 8, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Main St Ste 7
Ellington, CT 06029-3361
Zip
06029-3361
Phone Number
860-872-7500
Ellington, CT 06029Get directions →

Provider Business Mailing Address Details

Address
178 New State RD Apt 7
Manchester, CT 06042-7941
City
Manchester
State
CT
Zip
06042-7941
Phone Number
860-638-9700

License Information

License Number
001243
License State
CT
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lauren Hodge, ATC?

The NPI number of Lauren Hodge, ATC is 1013559657. It was assigned on October 15, 2019 and is currently active in the NPPES registry.

What is the specialty of Lauren Hodge, ATC?

Lauren Hodge, ATC is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in CT under license number 001243.

Where does Lauren Hodge, ATC practice?

The practice location is 12 Main St Ste 7, Ellington, CT 06029-3361. The office can be reached at 860-872-7500 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013559657 directly on the NPPES registry website.

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