Provider Demographics
NPI:1326870338
Name:SCHAEFER, LEXIS BRIANNE (RN, BSN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:LEXIS
Middle Name:BRIANNE
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:LEXIS
Other - Middle Name:BRIANNE
Other - Last Name:KRIVOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:7301 NORWALK RD
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-7744
Mailing Address - Country:US
Mailing Address - Phone:216-406-3757
Mailing Address - Fax:
Practice Address - Street 1:7301 NORWALK RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-7744
Practice Address - Country:US
Practice Address - Phone:216-956-6941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH402591163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant