Individual provider Active NPI

Lauren Shirin Lakdawala, PHARMD

  • Pharmacist
  • Baltimore, MD
National Provider Identifier
1073945812
Registry record updated Aug 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21731 Issued in MD
Practice address
5901 Holabird Ave
Suite a
Baltimore, MD 21224-6015
Phone
(412) 580-8773
NPI assigned
Aug 3, 2013
Last updated
Aug 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202212173 VA
Pharmacist 183500000X 21731 MD Primary

Addresses

Primary practice location

5901 Holabird Ave
Suite a
Baltimore, MD 21224-6015

Mailing address

138 Welcome Aly
Baltimore, MD 21201-2432
Phone (412) 580-8773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
21731MDMDPharmacist
0202212173VAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375488000000",
    "number": "1073945812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 WELCOME ALY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012432",
            "telephone_number": "412-580-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 HOLABIRD AVE",
            "address_2": "SUITE A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212246015",
            "telephone_number": "412-580-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKDAWALA",
        "first_name": "LAUREN",
        "middle_name": "SHIRIN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-03",
        "last_updated": "2013-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202212173",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "21731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.