Provider Demographics
NPI:1326172271
Name:LOUCEL, LYSANNE MARNEY (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:LYSANNE
Middle Name:MARNEY
Last Name:LOUCEL
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:MS
Other - First Name:LYSANNE
Other - Middle Name:
Other - Last Name:MARNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:IBCLC
Mailing Address - Street 1:14 DUCHESS CT
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-7757
Mailing Address - Country:US
Mailing Address - Phone:732-431-1091
Mailing Address - Fax:
Practice Address - Street 1:14 DUCHESS CT
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-7757
Practice Address - Country:US
Practice Address - Phone:732-431-1091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist