Provider Demographics
NPI:1932486453
Name:LAHR, SUZANNE ELLEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:ELLEN
Last Name:LAHR
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 1:14359 EMBASSY WAY
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-6466
Mailing Address - Country:US
Mailing Address - Phone:952-236-8291
Mailing Address - Fax:
Practice Address - Street 1:15150 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-7056
Practice Address - Country:US
Practice Address - Phone:952-891-5500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN111343183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist