Eckenrode, Lauren Lee

Eckenrode, Lauren Lee is an individual health care provider with primary practice located at 700 Quincy Ave , Scranton PA 18510-1798. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Eckenrode, Lauren Lee can be contacted via phone (866) 519-0457.

Contact Information

Primary practice address
700 Quincy Ave Scranton PA 18510-1798
Phone: (866) 519-0457
Fax: (570) 340-3448
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA055592 Pennsylvania

Profile Details

NPI number 1437283777
LBN Legal business name Eckenrode, Lauren Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Dec 5th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437283777 NPPES
Pennsylvania MEDICAID 1031544600001

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