Provider Demographics
NPI:1730060930
Name:HOARD, LAURYN RENAY
Entity type:Individual
Prefix:
First Name:LAURYN
Middle Name:RENAY
Last Name:HOARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAURYN
Other - Middle Name:
Other - Last Name:HARLAN-YATES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:13219 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:QUANTICO
Mailing Address - State:VA
Mailing Address - Zip Code:22134-4246
Mailing Address - Country:US
Mailing Address - Phone:703-622-7444
Mailing Address - Fax:
Practice Address - Street 1:2013 H ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-4201
Practice Address - Country:US
Practice Address - Phone:202-994-6210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program