Provider Demographics
NPI:1194050252
Name:LUGRAND, DANIELLE MARIE (CPE, LCCE, CLC, MW)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:MARIE
Last Name:LUGRAND
Suffix:
Gender:F
Credentials:CPE, LCCE, CLC, MW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 NORTHCREST DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-7415
Mailing Address - Country:US
Mailing Address - Phone:405-819-4904
Mailing Address - Fax:
Practice Address - Street 1:2322 N INTERSTATE DR STE 2
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-2942
Practice Address - Country:US
Practice Address - Phone:405-819-4904
Practice Address - Fax:405-896-8741
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-07
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPE174H00000X
ALPP-209583174N00000X
176B00000X, 374J00000X
DONA-1609374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No176B00000XOther Service ProvidersMidwife