Provider Demographics
NPI:1992252381
Name:HUNTER, LAURYN (MS, ATC, LAT, CES)
Entity type:Individual
Prefix:MISS
First Name:LAURYN
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:MS, ATC, LAT, CES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:895 UNIVERSITY BLVD
Mailing Address - Street 2:MSC 4703
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22807-1021
Mailing Address - Country:US
Mailing Address - Phone:540-476-3347
Mailing Address - Fax:
Practice Address - Street 1:895 UNIVERSITY BLVD
Practice Address - Street 2:MSC 4703
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-1021
Practice Address - Country:US
Practice Address - Phone:540-476-3347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260026642255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0126002664OtherVIRGINIA BOARD OF MEDICINE ATHLETIC TRAINING LICENSE NUMBER