Provider Demographics
NPI:1275050825
Name:TRAINOR, LAUREN ELIZABETH FADELY (CNM, WHNP, IBCLC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:ELIZABETH FADELY
Last Name:TRAINOR
Suffix:
Gender:F
Credentials:CNM, WHNP, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:938 VIRGINIA AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3116
Mailing Address - Country:US
Mailing Address - Phone:903-316-6104
Mailing Address - Fax:
Practice Address - Street 1:1138 GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:CHRISTIANA
Practice Address - State:PA
Practice Address - Zip Code:17509-9720
Practice Address - Country:US
Practice Address - Phone:717-786-4010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-24
Last Update Date:2017-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAL-20004163WL0100X
PAMW010451367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant