Provider Demographics
NPI:1467661744
Name:LOUNSBURY, MICHELLE H (RN,BSN, CPCE, IBCLC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:H
Last Name:LOUNSBURY
Suffix:
Gender:F
Credentials:RN,BSN, CPCE, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29800 HARVARD RD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-4760
Mailing Address - Country:US
Mailing Address - Phone:216-360-9351
Mailing Address - Fax:216-360-9352
Practice Address - Street 1:29800 HARVARD RD
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4760
Practice Address - Country:US
Practice Address - Phone:216-360-9351
Practice Address - Fax:216-360-9352
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN234955163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant