Individual
LAUREN R ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 OFFICE CENTER DR, SUITE 400, FT WASHINGTON, PA 19034-3219
(267) 513-1722
(267) 513-1728
Mailing address
500 OFFICE CENTER DR, SUITE 400, FT WASHINGTON, PA 19034-3219
(267) 513-1722
(267) 513-1728
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN232274L
PA
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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