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Lauren Justine Dea, PharmD

Pharmacist in San Diego, CA. Individual provider (NPI-1).

NPI number1790337608
StatusActive
Last updated in NPPESNov 15, 2019

Details

NPI
1790337608
Entity type
Individual (NPI-1)
Name
Lauren Justine Dea
Credential
PharmD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 11, 2019
Last updated
Nov 15, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist79280CAYes

Practice location

3350 La Jolla Village Dr
San Diego, CA 92161-0002

Phone 858-552-8585

Mailing address

3350 La Jolla Village Dr
San Diego, CA 92161-0002

Phone 858-552-8585

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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