Provider Demographics
NPI:1477381739
Name:PEARCY, KARELLE ERICA (IBCLC)
Entity type:Individual
Prefix:MRS
First Name:KARELLE
Middle Name:ERICA
Last Name:PEARCY
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 S FILMORE ST
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-2325
Mailing Address - Country:US
Mailing Address - Phone:318-730-0920
Mailing Address - Fax:
Practice Address - Street 1:1305 S FILMORE ST
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-2325
Practice Address - Country:US
Practice Address - Phone:318-730-0920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-26
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL315283174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN