Provider Demographics
NPI:1285619304
Name:ANGELO, LAUREN B (PHARMD, MBA)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:B
Last Name:ANGELO
Suffix:
Gender:F
Credentials:PHARMD, MBA
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:9640 GUDELSKY DR
Mailing Address - Street 2:BLDG 1, ROOM 306
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3480
Mailing Address - Country:US
Mailing Address - Phone:301-738-6375
Mailing Address - Fax:
Practice Address - Street 1:9640 GUDELSKY DR
Practice Address - Street 2:BUILDING 1, ROOM 306
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3480
Practice Address - Country:US
Practice Address - Phone:301-738-6375
Practice Address - Fax:301-738-6040
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN26020542A183500000X
VA0202208231183500000X
NC15993183500000X
IL051291862183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist