Diedre Lavers | Bakersfield, CA • PECOS Search

Diedre Lavers

Pharmacist

Pharmacy Service Providers

2119 Verde St, Bakersfield, CA 93304-2742

PECOS Enrollment

Based on the most recent information from CMS, provider Diedre Lavers does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1700156932
Provider Type
Individual
Full Name
Lavers, Diedre
Title
Ms.
Credential
RPH

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/4/2012
Last Updated
1/4/2012

Contact Information

Practice Location

2119 Verde St, Bakersfield, CA 93304-2742

Unlisted Fax

Mailing Location

2119 Verde St, Bakersfield, CA 93304-2742

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 183500000X Primary	Description Pharmacist Pharmacy Service Providers	License 27596 California