Provider Demographics
NPI:1881965580
Name:TREMAINE, LAURA A (IBCLC, RLC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:A
Last Name:TREMAINE
Suffix:
Gender:F
Credentials:IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 RED CEDAR PL
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2140
Mailing Address - Country:US
Mailing Address - Phone:919-727-6455
Mailing Address - Fax:
Practice Address - Street 1:105 RED CEDAR PL
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2140
Practice Address - Country:US
Practice Address - Phone:919-727-6455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11143527174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN