Provider Demographics
NPI:1568681492
Name:MICHAUD, LAURA LEA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LEA
Last Name:MICHAUD
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 1:1515 HOLCOMBE BLVD UNIT 1354
Mailing Address - Street 2:P.O. BOX 301439
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-4009
Mailing Address - Country:US
Mailing Address - Phone:713-563-0702
Mailing Address - Fax:713-563-0905
Practice Address - Street 1:1515 HOLCOMBE BLVD UNIT 1354
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4009
Practice Address - Country:US
Practice Address - Phone:713-563-0702
Practice Address - Fax:713-563-0905
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX342331835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology