Provider Demographics
NPI:1427331099
Name:ENGLER, LAUREN ANN CLIFFORD (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ANN CLIFFORD
Last Name:ENGLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:ANN
Other - Last Name:CLIFFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:2556 PULASKI HWY
Mailing Address - Street 2:
Mailing Address - City:NORTH EAST
Mailing Address - State:MD
Mailing Address - Zip Code:21901-2610
Mailing Address - Country:US
Mailing Address - Phone:410-287-8887
Mailing Address - Fax:
Practice Address - Street 1:2556 PULASKI HWY
Practice Address - Street 2:
Practice Address - City:NORTH EAST
Practice Address - State:MD
Practice Address - Zip Code:21901-2610
Practice Address - Country:US
Practice Address - Phone:410-287-8887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA10004068183500000X
MD19865183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEA10004068OtherPHARMACIST LICENSE
MD19865OtherPHARMACIST LICENSE