Provider Demographics
NPI:1346584232
Name:GUY, LAUREN (IBCLC)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:
Last Name:GUY
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 BLANDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2706
Mailing Address - Country:US
Mailing Address - Phone:336-207-0826
Mailing Address - Fax:
Practice Address - Street 1:410 BLANDWOOD AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2706
Practice Address - Country:US
Practice Address - Phone:336-207-0826
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11247628174N00000X
NCNONE374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula