Provider Demographics
NPI:1295532505
Name:DAUSEN, LAURA (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:DAUSEN
Suffix:
Gender:
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WOODS EDGE CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-6054
Mailing Address - Country:US
Mailing Address - Phone:312-852-2554
Mailing Address - Fax:
Practice Address - Street 1:6 WOODS EDGE CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-6054
Practice Address - Country:US
Practice Address - Phone:312-852-2554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC259129.R163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty