Provider Demographics
NPI:1447664024
Name:LAURA HIGHTOWER RN IBCLC
Entity type:Organization
Organization Name:LAURA HIGHTOWER RN IBCLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:HIGHTOWER
Authorized Official - Suffix:
Authorized Official - Credentials:RN IBCLC
Authorized Official - Phone:303-478-4884
Mailing Address - Street 1:1900 WASHINGTON ST
Mailing Address - Street 2:102
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-2958
Mailing Address - Country:US
Mailing Address - Phone:303-478-4884
Mailing Address - Fax:
Practice Address - Street 1:1900 WASHINGTON ST
Practice Address - Street 2:102
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-2958
Practice Address - Country:US
Practice Address - Phone:303-478-4884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-11
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-45570163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty