Provider Demographics
NPI:1639322175
Name:EICHENLAUB, LANA MARIE (PHARMD,RPH)
Entity Type:Individual
Prefix:MRS
First Name:LANA
Middle Name:MARIE
Last Name:EICHENLAUB
Suffix:
Gender:F
Credentials:PHARMD,RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357 ALBERT RUN RD
Mailing Address - Street 2:
Mailing Address - City:WEST DECATUR
Mailing Address - State:PA
Mailing Address - Zip Code:16878-8709
Mailing Address - Country:US
Mailing Address - Phone:814-342-4336
Mailing Address - Fax:
Practice Address - Street 1:925 E BISHOP ST
Practice Address - Street 2:
Practice Address - City:BELLEFONTE
Practice Address - State:PA
Practice Address - Zip Code:16823-2303
Practice Address - Country:US
Practice Address - Phone:814-355-1548
Practice Address - Fax:814-355-2558
Is Sole Proprietor?:No
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439170183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist