Provider Demographics
NPI:1063099075
Name:LAVENTURA, LORALEE J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LORALEE
Middle Name:J
Last Name:LAVENTURA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:LORALEE
Other - Middle Name:J
Other - Last Name:HECKMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:306 STATE ST
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19526-1802
Mailing Address - Country:US
Mailing Address - Phone:610-562-2738
Mailing Address - Fax:610-562-6920
Practice Address - Street 1:306 STATE ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:PA
Practice Address - Zip Code:19526-1802
Practice Address - Country:US
Practice Address - Phone:610-562-2738
Practice Address - Fax:610-562-6920
Is Sole Proprietor?:No
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP439669183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist