1821156902 NPI number — MRS. LOUISE SCHRAMM MARLOW CPNP

Table of content: MRS. LOUISE SCHRAMM MARLOW CPNP (NPI 1821156902)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821156902 NPI number — MRS. LOUISE SCHRAMM MARLOW CPNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARLOW
Provider First Name:
LOUISE
Provider Middle Name:
SCHRAMM
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
CPNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MARLOW
Provider Other First Name:
LUANN
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CPNP, IBCLC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1821156902
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/05/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4430 LASSEN CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUWANEE
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30024-8745
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-925-8494
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4430 LASSEN CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUWANEE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30024-8745
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-925-8494
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/04/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WL0100X , with the licence number:  LC000177 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LP0200X , with the licence number: RN069888 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)