Active NPI
Stephanie Anne Lorenzen, IBCLC
- Lactation Consultant (Non-RN)
- Chrisman, IL
National Provider Identifier
1730646167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-151809
- Practice address
- 26305 N 1325TH St
Chrisman, IL 61924-7075 - Phone
- (805) 558-0332
- NPI assigned
- Feb 21, 2019
- Last updated
- Feb 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-151809 | IL | Primary |
Addresses
Primary practice location
26305 N 1325TH St
Chrisman, IL 61924-7075
Mailing address
26305 N 1325TH St
Chrisman, IL 61924-7075
Phone (805) 558-0332
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-151809 | IL | MD | Lactation Consultant (Non-RN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550707200000",
"number": "1730646167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26305 N 1325TH ST",
"city": "CHRISMAN",
"state": "IL",
"postal_code": "619247075",
"telephone_number": "805-558-0332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26305 N 1325TH ST",
"city": "CHRISMAN",
"state": "IL",
"postal_code": "619247075",
"telephone_number": "805-558-0332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LORENZEN",
"first_name": "STEPHANIE",
"middle_name": "ANNE",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-21",
"last_updated": "2019-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "IL",
"license": "L-151809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chrisman, IL
- Kristina A. Gabbard, APRN FNP-C
- Haven JV Hospice Il, LLC (Haven Hospice)
- Hospital & Medical Foundation of Paris, Inc. (Chrisman Clinic)
- Hospital & Medical Foundation of Paris, Inc.
- Danielle Ireland, APRN
- Ma. Angela Calanda Maliwat, PT, DPT
- Sandra M Medina, COTA
- Neal EMS LLC
- Northern Edgar County Amb Ser
- Pleasant Meadows Senior Living LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.