Individual provider Active NPI

Elizabeth Glenn Lorick, IBCLC, RLC

  • Lactation Consultant (Non-RN)
  • Huntsville, AL
National Provider Identifier
1558790204
Registry record updated Nov 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
19613394
Practice address
7540 Memorial Pkwy SW Ste H
Huntsville, AL 35802-2209
Phone
(256) 489-2590
Fax
(256) 489-2584
NPI assigned
Nov 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X 19613394 Primary

Addresses

Primary practice location

7540 Memorial Pkwy SW Ste H
Huntsville, AL 35802-2209

Mailing address

7540 Memorial Pkwy SW Ste H
Huntsville, AL 35802-2209
Phone (256) 489-2590

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

NPI Registry JSON

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1558790204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 MEMORIAL PKWY SW STE H",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022209",
            "telephone_number": "256-489-2590",
            "fax_number": "256-489-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 MEMORIAL PKWY SW STE H",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358022209",
            "telephone_number": "256-489-2590",
            "fax_number": "256-489-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORICK",
        "first_name": "ELIZABETH",
        "middle_name": "GLENN",
        "credential": "IBCLC, RLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "19613394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.