Provider Demographics
NPI:1134570815
Name:BREWER LOUIS, ARIEL (PHD, IBCLC)
Entity type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:
Last Name:BREWER LOUIS
Suffix:
Gender:F
Credentials:PHD, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 SLAYTON TER
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:VT
Mailing Address - Zip Code:05091-1320
Mailing Address - Country:US
Mailing Address - Phone:281-731-7313
Mailing Address - Fax:
Practice Address - Street 1:7 SLAYTON TER
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:VT
Practice Address - Zip Code:05091-1320
Practice Address - Country:US
Practice Address - Phone:281-731-7313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-24
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VTL-98391174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN