Provider Demographics
NPI:1194094649
Name:BAUMAN, LORIANN (RPH)
Entity type:Individual
Prefix:MS
First Name:LORIANN
Middle Name:
Last Name:BAUMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 DEBMAR DR
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5222
Mailing Address - Country:US
Mailing Address - Phone:908-770-4933
Mailing Address - Fax:732-842-1628
Practice Address - Street 1:22 W RIVER RD
Practice Address - Street 2:
Practice Address - City:RUMSON
Practice Address - State:NJ
Practice Address - Zip Code:07760-1419
Practice Address - Country:US
Practice Address - Phone:732-842-1234
Practice Address - Fax:732-842-1628
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2011-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02248600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist