Provider Demographics
NPI:1154136463
Name:MACY, SARA J (RN IBCLC)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:J
Last Name:MACY
Suffix:
Gender:F
Credentials:RN IBCLC
Other - Prefix:MRS
Other - First Name:SARA
Other - Middle Name:J
Other - Last Name:MACY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN IBCLC
Mailing Address - Street 1:2001 GEORGETOWN RD
Mailing Address - Street 2:
Mailing Address - City:IOWA FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50126-1551
Mailing Address - Country:US
Mailing Address - Phone:641-373-0247
Mailing Address - Fax:
Practice Address - Street 1:2001 GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:IOWA FALLS
Practice Address - State:IA
Practice Address - Zip Code:50126-1551
Practice Address - Country:US
Practice Address - Phone:641-373-0247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA060417163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant