Individual
LAUREN ECCLES ULRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6394 FAIRWEATHER DRIVE, ANCHORAGE, AK 99518-9951
(801) 668-1234
(801) 668-1234
Mailing address
6394 FAIRWEATHER DR, ANCHORAGE, AK 99518-2286
(801) 668-1234
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
7657377-3102
UT
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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