Provider Demographics
NPI:1063742948
Name:MEYERS, SUZY (IBCLC, RLC)
Entity type:Individual
Prefix:
First Name:SUZY
Middle Name:
Last Name:MEYERS
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 1:5930 S 58TH ST
Mailing Address - Street 2:SUITE W
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-6402
Mailing Address - Country:US
Mailing Address - Phone:402-423-6402
Mailing Address - Fax:402-423-6422
Practice Address - Street 1:5930 S 58TH ST
Practice Address - Street 2:SUITE W
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68516-6402
Practice Address - Country:US
Practice Address - Phone:402-423-6402
Practice Address - Fax:402-423-6422
Is Sole Proprietor?:No
Enumeration Date:2009-12-28
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No174400000XOther Service ProvidersSpecialist