Provider Demographics
NPI:1003352006
Name:POSTON, MARILYN KAY (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:KAY
Last Name:POSTON
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 GOOD HOPE RD
Mailing Address - Street 2:
Mailing Address - City:ANACOCO
Mailing Address - State:LA
Mailing Address - Zip Code:71403-2216
Mailing Address - Country:US
Mailing Address - Phone:318-452-9324
Mailing Address - Fax:
Practice Address - Street 1:919 S 10TH ST
Practice Address - Street 2:
Practice Address - City:LEESVILLE
Practice Address - State:LA
Practice Address - Zip Code:71446-4613
Practice Address - Country:US
Practice Address - Phone:318-452-9324
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-13
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-31689163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant