Provider Demographics
NPI:1265913651
Name:STINSON, LAUREN (PHARMD, RPH)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:STINSON
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 EDEN PARK DR FL 10
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-6005
Mailing Address - Country:US
Mailing Address - Phone:513-569-6335
Mailing Address - Fax:
Practice Address - Street 1:625 EDEN PARK DR FL 10
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-6005
Practice Address - Country:US
Practice Address - Phone:513-569-6335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12536053-1701183500000X
VA0202220160183500000X
NC31161183500000X
OH03131671183500000X
TN0000046069183500000X
KY015996183500000X
SC43525183500000X
WVRP0013123183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist