Provider Demographics
NPI:1548886716
Name:LAUBER, MICHELLE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:LAUBER
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 1:1755 LINCOLNWAY E
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-6425
Mailing Address - Country:US
Mailing Address - Phone:574-533-4932
Mailing Address - Fax:574-534-4305
Practice Address - Street 1:1755 LINCOLNWAY E
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-6425
Practice Address - Country:US
Practice Address - Phone:574-533-4932
Practice Address - Fax:574-534-4305
Is Sole Proprietor?:No
Enumeration Date:2020-06-23
Last Update Date:2022-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26026853A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist