Provider Demographics
NPI:1831219187
Name:SOLOMON, LAUREN G (RPH)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:G
Last Name:SOLOMON
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 1:11 RAPALLO
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5326
Mailing Address - Country:US
Mailing Address - Phone:949-852-0899
Mailing Address - Fax:
Practice Address - Street 1:11 RAPALLO
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-5326
Practice Address - Country:US
Practice Address - Phone:949-852-0899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH42678183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist