Laura Marie Lewellen, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

4704115816 Issued in MI

Practice address

3362 Parkland Dr
West Bloomfield, MI 48322-1828

Phone

(248) 425-0702

NPI assigned

Jun 16, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1346925476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 WHITE HOUSE DR",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483561665",
            "telephone_number": "248-431-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3362 PARKLAND DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221828",
            "telephone_number": "248-425-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWELLEN",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MI",
            "license": "4704115816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Ellen Levitt, MA LLP
• Rhonda Beth Levy-Larson, PH.D.
• Diane Levy-Rubinstein, MSW/LMSW
• Courtney Danielle Levy, MMS, PA-C, RD, CNSC
• Aaron Lewandowski, MD
• Melissa Lewin, LMSW
• Charissee Jena Lewis, DOCTORATE OF DIVINIT
• Tierra Chantell Lewis
• Peter Alfred Lewitt, M.D.
• Rebecca J Liening, PTA

• Lactation Consultant (Non-RN) in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Lactation Consultant (Non-RN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; 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.