Provider Demographics
NPI:1821156902
Name:MARLOW, LOUISE SCHRAMM (CPNP)
Entity Type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:SCHRAMM
Last Name:MARLOW
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:LUANN
Other - Middle Name:
Other - Last Name:MARLOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CPNP, IBCLC
Mailing Address - Street 1:4430 LASSEN CT
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-8745
Mailing Address - Country:US
Mailing Address - Phone:678-925-8494
Mailing Address - Fax:
Practice Address - Street 1:4430 LASSEN CT
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-8745
Practice Address - Country:US
Practice Address - Phone:678-925-8494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALC000177163WL0100X
GARN069888363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant