Individual provider · Type 1 NPI

Hannah Lyn Midlock

Student in an Organized Health Care Education/Training Program · Kenosha, WI

NPI number 1699309534 Active

Practice location

2001 Alford Park Dr
Kenosha, WI 53140-1994

Mailing address

8000 Hummingbird Cir
Joliet, IL 60431-4011

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1699309534

Hannah Lyn Midlock's National Provider Identifier is 1699309534, issued on Mar 1, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Kenosha, WI. The record was last updated on Mar 1, 2020.