Provider Demographics
NPI:1497926216
Name:ULRICH, LAUREN SCHAUFFLER (MSPT)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:SCHAUFFLER
Last Name:ULRICH
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:EVANS
Other - Last Name:SCHAUFFLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSPT
Mailing Address - Street 1:433 IRON HILL ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-5600
Mailing Address - Country:US
Mailing Address - Phone:925-872-9137
Mailing Address - Fax:
Practice Address - Street 1:433 IRON HILL ST
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-5600
Practice Address - Country:US
Practice Address - Phone:925-872-9137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-19
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT20361225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT20361OtherLICENSE