Provider Demographics
NPI:1013547082
Name:DUNLAP, LAURA MAE (PHARM D, RPH)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:MAE
Last Name:DUNLAP
Suffix:
Gender:F
Credentials:PHARM D, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13625 ZANE RD
Mailing Address - Street 2:
Mailing Address - City:LORE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43755-9708
Mailing Address - Country:US
Mailing Address - Phone:740-260-4927
Mailing Address - Fax:
Practice Address - Street 1:55 S 23RD ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-2180
Practice Address - Country:US
Practice Address - Phone:740-432-3810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-18
Last Update Date:2020-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03439050183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist