Provider Demographics
NPI:1336944222
Name:NICHOLS, LAUREN PATTERSON (MPH IBCLC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:PATTERSON
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:MPH IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 ABBOT PL
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-6258
Mailing Address - Country:US
Mailing Address - Phone:781-801-2448
Mailing Address - Fax:
Practice Address - Street 1:5850 FAYETTEVILLE RD STE 202
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6289
Practice Address - Country:US
Practice Address - Phone:919-480-1423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-317014174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN