Provider Demographics
NPI:1730783457
Name:LANIGAN, KRISTEN ALEXANDRA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:ALEXANDRA
Last Name:LANIGAN
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 1:330 COURT ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4325
Mailing Address - Country:US
Mailing Address - Phone:508-732-0219
Mailing Address - Fax:
Practice Address - Street 1:330 COURT ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4325
Practice Address - Country:US
Practice Address - Phone:508-732-0219
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH233563183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist