Provider Demographics
NPI:1245564855
Name:MOLZAN, LUCINDA L (CD(DONA))
Entity Type:Individual
Prefix:MRS
First Name:LUCINDA
Middle Name:L
Last Name:MOLZAN
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13312 S STATE RD
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:MI
Mailing Address - Zip Code:48872-9540
Mailing Address - Country:US
Mailing Address - Phone:517-402-5694
Mailing Address - Fax:
Practice Address - Street 1:13312 S STATE RD
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:MI
Practice Address - Zip Code:48872-9540
Practice Address - Country:US
Practice Address - Phone:517-402-5694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula