Provider Demographics
NPI:1568270957
Name:HEALY, LAURYN MABEL (CMD)
Entity type:Individual
Prefix:
First Name:LAURYN
Middle Name:MABEL
Last Name:HEALY
Suffix:
Gender:F
Credentials:CMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEWVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17241-1011
Mailing Address - Country:US
Mailing Address - Phone:724-986-1676
Mailing Address - Fax:
Practice Address - Street 1:770 FISHING CREEK RD
Practice Address - Street 2:
Practice Address - City:NEW CUMBERLAND
Practice Address - State:PA
Practice Address - Zip Code:17070-2703
Practice Address - Country:US
Practice Address - Phone:717-523-3033
Practice Address - Fax:717-819-9447
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-18
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No176B00000XOther Service ProvidersMidwife