Provider Demographics
NPI:1124201751
Name:NORRIS, JANICE LYNNA (IBCLC, RLC)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:LYNNA
Last Name:NORRIS
Suffix:
Gender:F
Credentials:IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5003 E 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-6340
Mailing Address - Country:US
Mailing Address - Phone:405-880-2849
Mailing Address - Fax:
Practice Address - Street 1:1321 W 7TH AVE
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-4360
Practice Address - Country:US
Practice Address - Phone:405-372-8200
Practice Address - Fax:405-743-2619
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-05
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist