Provider Demographics
NPI:1952449639
Name:LAUER, BRIANA (CPHT)
Entity Type:Individual
Prefix:MS
First Name:BRIANA
Middle Name:
Last Name:LAUER
Suffix:
Gender:F
Credentials:CPHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1848 E 114TH AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80233-3247
Mailing Address - Country:US
Mailing Address - Phone:720-341-0739
Mailing Address - Fax:
Practice Address - Street 1:119 CAMPUS
Practice Address - Street 2:APOTHECARY
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80309-0001
Practice Address - Country:US
Practice Address - Phone:303-492-8553
Practice Address - Fax:303-492-4874
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1401-0250-4332-698183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician