Provider Demographics
NPI:1134548282
Name:ALLBAUGH, LAURIE BETH (RPH)
Entity type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:BETH
Last Name:ALLBAUGH
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 SOUTHBROOKE DR APT 4
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50702-5826
Mailing Address - Country:US
Mailing Address - Phone:319-272-8800
Mailing Address - Fax:319-272-8806
Practice Address - Street 1:227 SOUTHBROOKE DR APT 4
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-5826
Practice Address - Country:US
Practice Address - Phone:319-272-8800
Practice Address - Fax:319-272-8806
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAIA 152321835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist