Provider Demographics
NPI:1669200440
Name:LAESSIG, LYNNEA B (RN, CERTIFIED DOULA)
Entity type:Individual
Prefix:
First Name:LYNNEA
Middle Name:B
Last Name:LAESSIG
Suffix:
Gender:F
Credentials:RN, CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 SUPERIOR ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:49968-9467
Mailing Address - Country:US
Mailing Address - Phone:906-285-9777
Mailing Address - Fax:
Practice Address - Street 1:1302 SUPERIOR ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MI
Practice Address - Zip Code:49968-9467
Practice Address - Country:US
Practice Address - Phone:906-285-9777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula