Provider Demographics
NPI:1376825901
Name:HAVERN, LALYMAR TERESITA (MS, PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LALYMAR
Middle Name:TERESITA
Last Name:HAVERN
Suffix:
Gender:F
Credentials:MS, PHARMD
Other - Prefix:DR
Other - First Name:LALYMAR
Other - Middle Name:TERESITA
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1107 CRESCENT PL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2569
Mailing Address - Country:US
Mailing Address - Phone:412-480-1618
Mailing Address - Fax:
Practice Address - Street 1:1107 CRESCENT PL
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2569
Practice Address - Country:US
Practice Address - Phone:412-480-1618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP444415183500000X
MO2010010599183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist