| NPI | 1114151800 |
|---|---|
| Former Name | LAUREN ELIZABETH ECKERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 075228) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: LA MD.204085) |
| 207N00000X Dermatology (Licence: SC 39037) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2019-12-03 |