Provider Demographics
NPI:1407278203
Name:HUGHES, LAURI (CPM, RM, CLC)
Entity Type:Individual
Prefix:MS
First Name:LAURI
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:CPM, RM, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2336 SPRUCE ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-4653
Mailing Address - Country:US
Mailing Address - Phone:720-320-1431
Mailing Address - Fax:
Practice Address - Street 1:2336 SPRUCE ST
Practice Address - Street 2:SUITE B
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-4653
Practice Address - Country:US
Practice Address - Phone:720-320-1431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACLC174N00000X
COMWR.0000147176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No174N00000XOther Service ProvidersLactation Consultant, Non-RN