Provider Demographics
NPI:1043587983
Name:NOHR, LELEI (PHARMD)
Entity Type:Individual
Prefix:
First Name:LELEI
Middle Name:
Last Name:NOHR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:LELEI
Other - Middle Name:
Other - Last Name:BURNETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:4110 GEORGE RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33634-7411
Mailing Address - Country:US
Mailing Address - Phone:407-474-6593
Mailing Address - Fax:
Practice Address - Street 1:4110 GEORGE RD
Practice Address - Street 2:
Practice Address - City:ROCKY POINT
Practice Address - State:FL
Practice Address - Zip Code:33634-7411
Practice Address - Country:US
Practice Address - Phone:407-474-6593
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-21
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS48568183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist