Provider Demographics
NPI:1023394764
Name:TROTTI, LAUREN DAVIS (PHARMD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:DAVIS
Last Name:TROTTI
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 1:18900 HIGHWAY 105 W
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-6081
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:34865 LA HIGHWAY 16
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70706-0669
Practice Address - Country:US
Practice Address - Phone:225-665-2428
Practice Address - Fax:225-665-3681
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX49159183500000X
LAPST.019418183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist