Provider Demographics
NPI:1891078903
Name:ELIOPOULOS-FLOOD, LAURIE C
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:C
Last Name:ELIOPOULOS-FLOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 LITTLETON RD
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3121
Mailing Address - Country:US
Mailing Address - Phone:978-692-3075
Mailing Address - Fax:
Practice Address - Street 1:145 LITTLETON RD
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3121
Practice Address - Country:US
Practice Address - Phone:978-692-3075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-25
Last Update Date:2011-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH19317183500000X
NHR1028183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist