Individual
MRS. LAUREN LEE ECKENRODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
700 QUINCY AVE, SCRANTON, PA 18510-1798
(866) 519-0457
(570) 340-3448
Mailing address
700 QUINCY AVE, SCRANTON, PA 18510-1798
(866) 519-0457
(570) 340-3448
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA055592
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031544600001
—
PA
Enumeration date
03/16/2007
Last updated
12/05/2016
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