Provider Demographics
NPI:1366042137
Name:HOFER, LAUREN E (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:E
Last Name:HOFER
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 1:8114 FOREST HEIGHTS LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-3500
Mailing Address - Country:US
Mailing Address - Phone:219-851-2690
Mailing Address - Fax:
Practice Address - Street 1:4970 W HIGHWAY 290
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78735-6748
Practice Address - Country:US
Practice Address - Phone:512-358-8734
Practice Address - Fax:512-358-8740
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX47938183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist