Provider Demographics
NPI:1962852806
Name:ZANI, LAURIE A (RN,BSN,IBCLC,LCCE)
Entity Type:Individual
Prefix:MRS
First Name:LAURIE
Middle Name:A
Last Name:ZANI
Suffix:
Gender:F
Credentials:RN,BSN,IBCLC,LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 105
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:MA
Mailing Address - Zip Code:01866-0105
Mailing Address - Country:US
Mailing Address - Phone:978-437-7426
Mailing Address - Fax:
Practice Address - Street 1:2 SKYLINE DR
Practice Address - Street 2:
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821-1117
Practice Address - Country:US
Practice Address - Phone:978-437-7426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA163WL0100X163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant