Laurie Easter
Individual provider Active NPI Lactation Consultant (Registered Nurse) · Oak Grove, MO
NPI 1316756141 · NPPES record last updated Jan 6, 2025
Key facts
- NPI
- 1316756141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Registered Nurse) 163WL0100X
- License
- L-12592 (MO)
- Practice address
- 807 S Harding St
Oak Grove, MO 64075-9358 - Phone
- (816) 896-5642
- NPI assigned
- Jan 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-12592 | MO | MD | Lactation Consultant (Registered Nurse) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | L-12592 | MO | Yes |
Addresses
Primary practice location
807 S Harding St
Oak Grove, MO 64075-9358
Mailing address
807 S Harding St
Oak Grove, MO 64075-9358
Phone (816) 896-5642
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All providers in Oak Grove, MO · Lactation Consultant (Registered Nurse) in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.