Provider Demographics
NPI:1942971262
Name:GEIB, LAURIN NEIMAYER
Entity Type:Individual
Prefix:
First Name:LAURIN
Middle Name:NEIMAYER
Last Name:GEIB
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 1:18511 SMOCK HWY
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3672
Mailing Address - Country:US
Mailing Address - Phone:814-724-6292
Mailing Address - Fax:
Practice Address - Street 1:18511 SMOCK HWY
Practice Address - Street 2:
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3672
Practice Address - Country:US
Practice Address - Phone:814-724-6292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP437614183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist