Provider Demographics
NPI:1841180767
Name:ZELVIS, LAUREN (IBCLC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:ZELVIS
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 1:412 SHORT HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT ROYAL
Mailing Address - State:NJ
Mailing Address - Zip Code:08061-1136
Mailing Address - Country:US
Mailing Address - Phone:609-922-2760
Mailing Address - Fax:
Practice Address - Street 1:412 SHORT HILLS DR
Practice Address - Street 2:
Practice Address - City:MOUNT ROYAL
Practice Address - State:NJ
Practice Address - Zip Code:08061-1136
Practice Address - Country:US
Practice Address - Phone:609-922-2760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-319047174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN