Provider Demographics
NPI:1215581236
Name:FRANTZ, LAURA RENAE (PHARMD, CPP, BCPS)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:RENAE
Last Name:FRANTZ
Suffix:
Gender:F
Credentials:PHARMD, CPP, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 STREAM RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-1310
Mailing Address - Country:US
Mailing Address - Phone:704-384-5135
Mailing Address - Fax:704-316-9540
Practice Address - Street 1:200 HAWTHORNE LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2515
Practice Address - Country:US
Practice Address - Phone:704-384-5135
Practice Address - Fax:704-316-9540
Is Sole Proprietor?:No
Enumeration Date:2019-07-29
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC131951835C0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835C0205XPharmacy Service ProvidersPharmacistCritical Care