Individual
LORIE RADECKI ULMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
301 S 7TH AVE, STE 3170, WEST READING, PA 19611-1410
(610) 374-4491
(610) 478-1170
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD067519L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102233668
—
PA
Enumeration date
08/30/2005
Last updated
11/18/2014
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