Provider Demographics
NPI:1730796756
Name:HAWK, PATRICIA C I
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:C
Last Name:HAWK
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:134 WOODSIDE TRL
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-7809
Mailing Address - Country:US
Mailing Address - Phone:513-292-5549
Mailing Address - Fax:
Practice Address - Street 1:134 WOODSIDE TRL
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-7809
Practice Address - Country:US
Practice Address - Phone:513-292-5549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care