Provider Demographics
NPI:1215442348
Name:GIWA, LATONA TOPE (IBCLC, RN)
Entity type:Individual
Prefix:
First Name:LATONA
Middle Name:TOPE
Last Name:GIWA
Suffix:
Gender:F
Credentials:IBCLC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4724 EASTERN ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-6126
Mailing Address - Country:US
Mailing Address - Phone:504-762-0210
Mailing Address - Fax:
Practice Address - Street 1:6100 CANAL BLVD STE 205
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70124-3001
Practice Address - Country:US
Practice Address - Phone:504-515-1243
Practice Address - Fax:504-648-1406
Is Sole Proprietor?:No
Enumeration Date:2017-12-12
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN-144957163W00000X
LAP-210429163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163W00000XNursing Service ProvidersRegistered Nurse