Provider Demographics
NPI:1336498898
Name:KAIN, LAUREN Z (PHARMD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:Z
Last Name:KAIN
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 1:2597 WINDING LN NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-3229
Mailing Address - Country:US
Mailing Address - Phone:803-427-4094
Mailing Address - Fax:
Practice Address - Street 1:3959 LAVISTA RD
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-5144
Practice Address - Country:US
Practice Address - Phone:770-934-6442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-30
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13808183500000X
GA026702183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist