Individual
LAUREN R RADTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-5118
(717) 782-5854
Mailing address
111 S FRONT ST STE 2F, HARRISBURG, PA 17101-2010
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN555804
PA
Other
Enumeration date
06/02/2010
Last updated
04/14/2021
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