Provider Demographics
NPI:1033465026
Name:MESSINGER, LAURIE JILL (BS, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:JILL
Last Name:MESSINGER
Suffix:
Gender:F
Credentials:BS, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BEECHWOOD LN
Mailing Address - Street 2:
Mailing Address - City:GARNERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10923-1104
Mailing Address - Country:US
Mailing Address - Phone:845-304-6456
Mailing Address - Fax:
Practice Address - Street 1:10 BEECHWOOD LN
Practice Address - Street 2:
Practice Address - City:GARNERVILLE
Practice Address - State:NY
Practice Address - Zip Code:10923-1104
Practice Address - Country:US
Practice Address - Phone:845-304-6456
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-27
Last Update Date:2012-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN