Provider Demographics
NPI:1518706860
Name:BASHLOR, LAUREN RENE
Entity type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:RENE
Last Name:BASHLOR
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 1:29 ABBEY CT
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2156
Mailing Address - Country:US
Mailing Address - Phone:540-330-6255
Mailing Address - Fax:
Practice Address - Street 1:465 LEE HWY
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:VA
Practice Address - Zip Code:24482-2571
Practice Address - Country:US
Practice Address - Phone:540-248-0307
Practice Address - Fax:540-248-1436
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202221534183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist