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1154836849
LAUREN POTTER ELICKER
PHILADELPHIA, PA
NPI
1154836849
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: PA SP018252)
Enumeration Date
2017-12-04
Last Update Date
2017-12-04
Business Address
Mrs. LAUREN POTTER ELICKER CRNP
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104-4319
Phone number: 215-590-1000
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Mailing Address
Mrs. LAUREN POTTER ELICKER CRNP
748 SOUTH FRONT STREET 1F
PHILADELPHIA, PA 19147
Phone number: 856-981-3711
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