Provider Demographics
NPI:1437407533
Name:MISHLER, LAUREN (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:MISHLER
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5416 BROOKSIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-2863
Mailing Address - Country:US
Mailing Address - Phone:913-553-0707
Mailing Address - Fax:
Practice Address - Street 1:5416 BROOKSIDE BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-2863
Practice Address - Country:US
Practice Address - Phone:913-553-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-15292183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist