Provider Demographics
NPI:1427112903
Name:CRASS, LAURA J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:J
Last Name:CRASS
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 1:5971 VENICE BLVD
Mailing Address - Street 2:CARE MANAGEMENT, BASEMENT
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-1713
Mailing Address - Country:US
Mailing Address - Phone:323-857-3553
Mailing Address - Fax:323-857-4096
Practice Address - Street 1:5971 VENICE BLVD
Practice Address - Street 2:CARE MANAGEMENT, BASEMENT
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-1713
Practice Address - Country:US
Practice Address - Phone:323-857-3553
Practice Address - Fax:323-857-4096
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46754183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist