Provider Demographics
NPI:1093184491
Name:HIPSZER, LAUREL (RPH)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:
Last Name:HIPSZER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26538 MOULTON PKWY STE G
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-8242
Mailing Address - Country:US
Mailing Address - Phone:949-900-1605
Mailing Address - Fax:949-900-1606
Practice Address - Street 1:26538 MOULTON PKWY STE G
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-8242
Practice Address - Country:US
Practice Address - Phone:949-900-1605
Practice Address - Fax:949-900-1606
Is Sole Proprietor?:No
Enumeration Date:2015-09-16
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA71499183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist