Individual
LYNN M. ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1324 N SHERIDAN RD, WAUKEGAN, IL 60085-2161
(847) 360-3000
Mailing address
PO BOX 70, LAKE FOREST, IL 60045-0070
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041324262
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02233046
BCBS OF IL
IL
Enumeration date
06/01/2006
Last updated
02/24/2014
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