Provider Demographics
NPI:1154922920
Name:EANES, LAMARR-RENEE
Entity type:Individual
Prefix:MS
First Name:LAMARR-RENEE
Middle Name:
Last Name:EANES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 W 72ND ST APT 3A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3323
Mailing Address - Country:US
Mailing Address - Phone:646-504-6163
Mailing Address - Fax:
Practice Address - Street 1:116 W 72ND ST APT 3A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-3323
Practice Address - Country:US
Practice Address - Phone:646-504-6163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-06
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula