Provider Demographics
NPI:1629398045
Name:PHILLIPS, LAUREN (CD/PCD(DONA) CLC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:CD/PCD(DONA) CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 HARGRAVES DR
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-4006
Mailing Address - Country:US
Mailing Address - Phone:401-480-2460
Mailing Address - Fax:
Practice Address - Street 1:110 HARGRAVES DR
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-4006
Practice Address - Country:US
Practice Address - Phone:401-480-2460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-08
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula