Provider Demographics
NPI:1902530819
Name:THURMOND, LAUREN BROOK (RPH)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:BROOK
Last Name:THURMOND
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1556 NEW HOPE RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-6550
Mailing Address - Country:US
Mailing Address - Phone:678-997-1266
Mailing Address - Fax:
Practice Address - Street 1:3870 N DRUID HILLS RD
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-3002
Practice Address - Country:US
Practice Address - Phone:404-638-1293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH-033749183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist