Provider Demographics
NPI:1225632136
Name:DUNCAN, LAUREN R (PHARMD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:R
Last Name:DUNCAN
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 1:1821 AUTUMN BLUFF RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-1584
Mailing Address - Country:US
Mailing Address - Phone:423-539-8308
Mailing Address - Fax:
Practice Address - Street 1:1130 S ROANE ST
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-7446
Practice Address - Country:US
Practice Address - Phone:865-882-0117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42372183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist