Provider Demographics
NPI:1285903963
Name:LAUFFER, FELICITAS ANNE (RPH)
Entity type:Individual
Prefix:MS
First Name:FELICITAS
Middle Name:ANNE
Last Name:LAUFFER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MS
Other - First Name:FELICITAS
Other - Middle Name:ANNE
Other - Last Name:ENGELBRECHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:12771 EAGLE POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-7963
Mailing Address - Country:US
Mailing Address - Phone:239-768-3124
Mailing Address - Fax:239-768-3189
Practice Address - Street 1:12771 EAGLE POINTE CIR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-7963
Practice Address - Country:US
Practice Address - Phone:239-768-3124
Practice Address - Fax:239-768-3189
Is Sole Proprietor?:No
Enumeration Date:2011-12-23
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL18123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist