Provider Demographics
NPI:1134776305
Name:MCGINNIS, LAUREN MARIE
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:MARIE
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:MARIE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:715 FOOT HILL RD
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-5352
Mailing Address - Country:US
Mailing Address - Phone:410-638-5032
Mailing Address - Fax:
Practice Address - Street 1:3714 NORRISVILLE RD
Practice Address - Street 2:
Practice Address - City:JARRETTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21084-1419
Practice Address - Country:US
Practice Address - Phone:410-557-7717
Practice Address - Fax:410-557-4336
Is Sole Proprietor?:No
Enumeration Date:2019-08-22
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26768183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist