Basic Information
| Provider Information | |||||||||
| NPI: | 1750884581 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUTCHESON | ||||||||
| FirstName: | LAUREN | ||||||||
| MiddleName: | ELISABETH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 328 CRONAN DR | ||||||||
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| City: | MCDONOUGH | ||||||||
| State: | GA | ||||||||
| PostalCode: | 302522637 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7208109487 | ||||||||
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| Practice Location | |||||||||
| Address1: | 925B PEACHTREE ST NE STE 710 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303093918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037044621 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/18/2018 | ||||||||
| LastUpdateDate: | 10/06/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/06/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 374J00000X | N | Nursing Service Related Providers | Doula | 246ZE0600X | Y | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Electroneurodiagnostic |
No ID Information.