Provider Demographics
NPI:1710418785
Name:KALDUN, LAUREN (PHRMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:KALDUN
Suffix:
Gender:F
Credentials:PHRMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:56258-1341
Mailing Address - Country:US
Mailing Address - Phone:507-532-5754
Mailing Address - Fax:507-532-4066
Practice Address - Street 1:321 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-1341
Practice Address - Country:US
Practice Address - Phone:507-532-5754
Practice Address - Fax:507-532-4066
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN123188183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist