Provider Demographics
NPI:1093030587
Name:GUISINGER, LAUREN (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:GUISINGER
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2209 GENESEE STREET
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13501-0000
Mailing Address - Country:US
Mailing Address - Phone:315-798-8200
Mailing Address - Fax:315-798-8400
Practice Address - Street 1:2209 GENESEE STREET
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-0000
Practice Address - Country:US
Practice Address - Phone:315-798-8200
Practice Address - Fax:315-798-8400
Is Sole Proprietor?:No
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052575-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY052575-1OtherNEW YORK STATE