Provider Demographics
NPI:1376619676
Name:BARNES, LAWRENCE RAYMOND (RPH)
Entity Type:Individual
Prefix:MR
First Name:LAWRENCE
Middle Name:RAYMOND
Last Name:BARNES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 LILLIAN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15210-1667
Mailing Address - Country:US
Mailing Address - Phone:412-431-8474
Mailing Address - Fax:724-379-6899
Practice Address - Street 1:642 MCKEAN AVE
Practice Address - Street 2:
Practice Address - City:DONORA
Practice Address - State:PA
Practice Address - Zip Code:15033-1003
Practice Address - Country:US
Practice Address - Phone:724-379-5630
Practice Address - Fax:724-379-6899
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP028868L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist