Provider Demographics
NPI:1619472164
Name:LAGRONE, VERONICA JEAN (BIRTH DOULA)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:JEAN
Last Name:LAGRONE
Suffix:
Gender:F
Credentials:BIRTH DOULA
Other - Prefix:MRS
Other - First Name:VERONICA
Other - Middle Name:J
Other - Last Name:LAGRONE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DOULA SERVICE
Mailing Address - Street 1:420 N FLORISSANT RD
Mailing Address - Street 2:
Mailing Address - City:FERGUSON
Mailing Address - State:MO
Mailing Address - Zip Code:63135-1641
Mailing Address - Country:US
Mailing Address - Phone:314-791-3953
Mailing Address - Fax:
Practice Address - Street 1:420 N FLORISSANT RD
Practice Address - Street 2:
Practice Address - City:FERGUSON
Practice Address - State:MO
Practice Address - Zip Code:63135-1641
Practice Address - Country:US
Practice Address - Phone:314-791-3953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula