Provider Demographics
NPI:1477331783
Name:HOOGS, LAUREN (NBC-HWC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:HOOGS
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 W 21ST ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-4613
Mailing Address - Country:US
Mailing Address - Phone:775-636-0679
Mailing Address - Fax:
Practice Address - Street 1:243 W 21ST ST UNIT B
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-4613
Practice Address - Country:US
Practice Address - Phone:775-636-0679
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-3145124171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach