Provider Demographics
NPI:1740072123
Name:LOY, ALYSSA MARIE (RN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:MARIE
Last Name:LOY
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:COWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5116 S YUMA CT
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-6977
Mailing Address - Country:US
Mailing Address - Phone:816-263-0326
Mailing Address - Fax:
Practice Address - Street 1:672 SE BAYBERRY LN STE 101
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-4262
Practice Address - Country:US
Practice Address - Phone:816-281-7558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOL-302046163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant