Provider Demographics
NPI:1205016375
Name:ABE, LAINEY S (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAINEY
Middle Name:S
Last Name:ABE
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 1:26850 THE OLD RD
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91381-0661
Mailing Address - Country:US
Mailing Address - Phone:661-799-9473
Mailing Address - Fax:
Practice Address - Street 1:26850 THE OLD RD
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91381-0661
Practice Address - Country:US
Practice Address - Phone:661-799-9473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55787183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist