Provider Demographics
NPI:1578598272
Name:HAMLIN, LAUREN MICHELLE (R)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:MICHELLE
Last Name:HAMLIN
Suffix:
Gender:F
Credentials:R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 OLE COUNTRY LN
Mailing Address - Street 2:
Mailing Address - City:BIGELOW
Mailing Address - State:AR
Mailing Address - Zip Code:72016
Mailing Address - Country:US
Mailing Address - Phone:501-330-2575
Mailing Address - Fax:
Practice Address - Street 1:2585 DONAGHEY AVE
Practice Address - Street 2:SUITE 109
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-2327
Practice Address - Country:US
Practice Address - Phone:501-764-1201
Practice Address - Fax:501-764-1204
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARRTL006768247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist