Provider Demographics
NPI:1568703403
Name:OWYOUNG, LANI (PHARM D)
Entity Type:Individual
Prefix:MRS
First Name:LANI
Middle Name:
Last Name:OWYOUNG
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1841 DEL REY ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-1910
Mailing Address - Country:US
Mailing Address - Phone:925-937-5536
Mailing Address - Fax:
Practice Address - Street 1:282 VILLAGE SQ
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2504
Practice Address - Country:US
Practice Address - Phone:925-254-1211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-01
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30166183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist