Provider Demographics
NPI:1073091559
Name:LEARD, LAUREN PAULINA (PHARMD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:PAULINA
Last Name:LEARD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 CASA LINDA PLZ
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-5001
Mailing Address - Country:US
Mailing Address - Phone:214-319-8221
Mailing Address - Fax:
Practice Address - Street 1:320 CASA LINDA PLZ
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-5001
Practice Address - Country:US
Practice Address - Phone:214-319-8221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-06
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0022311183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty