Provider Demographics
NPI:1336998947
Name:MACDONALD, LAUREN FRANCES (RN, BSN, IBCLC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:FRANCES
Last Name:MACDONALD
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5071 BAUER DR
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-4847
Mailing Address - Country:US
Mailing Address - Phone:760-681-6049
Mailing Address - Fax:
Practice Address - Street 1:5071 BAUER DR
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-4847
Practice Address - Country:US
Practice Address - Phone:760-681-6049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIL-313219163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant