Provider Demographics
NPI:1487054763
Name:HAGGERTY, LAUREN CATHERINE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:CATHERINE
Last Name:HAGGERTY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4701 N CHARLES ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210-2404
Mailing Address - Country:US
Mailing Address - Phone:410-532-5082
Mailing Address - Fax:844-411-6898
Practice Address - Street 1:9101 FRANKLIN SQUARE DR STE 300
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-3966
Practice Address - Country:US
Practice Address - Phone:443-777-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-24
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202215198183500000X
MD24161183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist