Provider Demographics
NPI:1023418449
Name:RICCI, LAUREN SOPHIA (DOULA)
Entity type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:SOPHIA
Last Name:RICCI
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 W 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97402-3720
Mailing Address - Country:US
Mailing Address - Phone:541-344-7974
Mailing Address - Fax:541-344-7763
Practice Address - Street 1:2035 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-3522
Practice Address - Country:US
Practice Address - Phone:541-344-7974
Practice Address - Fax:541-344-7763
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-04
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR214724176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife