Provider Demographics
NPI:1821249665
Name:HEDRIX, LAUREN ANN (DC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ANN
Last Name:HEDRIX
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13055 W MCDOWELL RD
Mailing Address - Street 2:STE G104
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-6450
Mailing Address - Country:US
Mailing Address - Phone:623-882-3598
Mailing Address - Fax:623-792-8435
Practice Address - Street 1:13055 W MCDOWELL RD STE G104
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392
Practice Address - Country:US
Practice Address - Phone:623-882-3598
Practice Address - Fax:623-792-8435
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7928111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor