Provider Demographics
NPI:1285402388
Name:MEEK, JULIE (IBCLC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:MEEK
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10775 MCKINLEY HWY STE C
Mailing Address - Street 2:
Mailing Address - City:OSCEOLA
Mailing Address - State:IN
Mailing Address - Zip Code:46561-9164
Mailing Address - Country:US
Mailing Address - Phone:574-213-2102
Mailing Address - Fax:
Practice Address - Street 1:7254 N TUXEDO ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-3551
Practice Address - Country:US
Practice Address - Phone:317-384-7051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INL-24252174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN