Provider Demographics
NPI:1275049942
Name:PUSATERI-NILSON, LAUREN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:PUSATERI-NILSON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:PUSATERI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:81 SENECA DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15228-1067
Mailing Address - Country:US
Mailing Address - Phone:412-508-1600
Mailing Address - Fax:
Practice Address - Street 1:81 SENECA DRIVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228
Practice Address - Country:US
Practice Address - Phone:412-508-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-18
Last Update Date:2017-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP447226183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist