Provider Demographics
NPI:1871871947
Name:KESSLER, LAUREN ELIZABETH
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:KESSLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35830 DETROIT RD
Mailing Address - Street 2:T-1325
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-1681
Mailing Address - Country:US
Mailing Address - Phone:440-937-4301
Mailing Address - Fax:
Practice Address - Street 1:35830 DETROIT RD
Practice Address - Street 2:T-1325
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1681
Practice Address - Country:US
Practice Address - Phone:440-937-4301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-23
Last Update Date:2011-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03330863183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist