Provider Demographics
NPI:1447314430
Name:RESTAINO, LAUREN MICHELE (RPH, MPH)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:MICHELE
Last Name:RESTAINO
Suffix:
Gender:F
Credentials:RPH, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 PERNA LN
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-4916
Mailing Address - Country:US
Mailing Address - Phone:203-273-1710
Mailing Address - Fax:
Practice Address - Street 1:44 PERNA LN
Practice Address - Street 2:NORTHEAST PHARMACEUTICAL CONSULTING, INC.
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-4916
Practice Address - Country:US
Practice Address - Phone:203-273-1710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2013-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047154183500000X
CT010460183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY047154OtherNYS PHARMACIST LICENSE
CT010460OtherCT LICENSE
254489OtherNCDPDP