Individual provider Active NPI

Laura Christine Zulliger, IBCLC

  • Lactation Consultant (Non-RN)
  • Medical Lake, WA
National Provider Identifier
1871868505
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
License
11187538 Issued in WA
Practice address
2420 N Chris LN
Medical Lake, WA 99022-8653
Phone
(509) 244-4191
Fax
(509) 244-4191
NPI assigned
Mar 13, 2012
Last updated
Mar 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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 11187538 WA Primary

Addresses

Primary practice location

2420 N Chris LN
Medical Lake, WA 99022-8653

Mailing address

2420 N Chris LN
Medical Lake, WA 99022-8653
Phone (509) 244-4191

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

LicenseStateTypeSpecialty
11187538WAMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1871868505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 N CHRIS LN",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990228653",
            "telephone_number": "509-244-4191",
            "fax_number": "509-244-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 N CHRIS LN",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990228653",
            "telephone_number": "509-244-4191",
            "fax_number": "509-244-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZULLIGER",
        "first_name": "LAURA",
        "middle_name": "CHRISTINE",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "WA",
            "license": "11187538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medical Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; 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.