EVON MARIE LAVERGNE (NPI# 1285158121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285158121 |
| Entity Type | Individual |
| Full Name | EVON MARIE LAVERGNE |
| Credential | CLC, IBCLC |
| Practice Address |
1412 Sunset Dr Lake Charles LA 70607-3634 |
| Practice Telephone | (337) 532-4666 |
| Mailing Telephone | 3375324666 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| Street Address |
1412 SUNSET DR |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70607-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596283 | Dakota Loosemore | Student in an Organized Health Care Education/Training Program | 800 East Mcneese Street, Lake Charles, LA 70607 | 2020-07-30 |
| 1467003822 | Sarah Jane Walley | Specialist/Technologist | 800 E Mcneese Street, Lake Charles, LA 70607 | 2019-09-26 |
| 1770053902 | Antonio Rivera | Chiropractor | 2625 Dillard Loop, Suite C, Lake Charles, LA 70607 | 2018-11-30 |
| 1851861330 | Shannon Marie Melvin | Specialist/Technologist | 800 East Mcneese, Lake Charles, LA 70607 | 2018-11-28 |
| 1326517699 | Vincent Michael Williams | Specialist/Technologist | 800 East Mcneese St, Lake Charles, LA 70607 | 2018-11-16 |
| 1396263356 | Lake Area Physician Services LLC | Durable Medical Equipment & Medical Supplies | 10071 Hwy 385, Lake Charles, LA 70607 | 2017-08-30 |
| 1023556370 | Heath Bryan Coleman, Dds of Louisiana II, A Professional Dental LLC | Dentist | 2625 Dillard Loop, Ste A, Lake Charles, LA 70607 | 2017-02-07 |
| 1750741880 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 635a Petro Point Dr, Lake Charles, LA 70607 | 2016-03-02 |
| 1194081414 | Clint Nickolas Lincoln | Family Medicine | 10071 Gulf Hwy, Lake Charles, LA 70607 | 2012-04-11 |
| 1295976652 | John Leroy Speer | Dentist | 3425 Louisiana Ave., Lake Charles, LA 70607 | 2009-03-16 |
| Find all providers in zip 70607 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649828310 | Courtney Lee Deitch | Lactation Consultant, Non-RN | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912462615 | Tamiqua Monique Torres | Lactation Consultant, Non-RN | 4129 Idaho Ave #a, Kenner, LA 70065 | 2019-02-06 |
| 1568946630 | Clair Hollins Mccoy | Lactation Consultant, Non-RN | 9363 Pecan Tree Dr, Baton Rouge, LA 70810-0700 | 2018-09-24 |
| 1659885580 | Chelsey Lee Leruth | Lactation Consultant, Non-RN | 2121 Octavia St, New Orleans, LA 70115-5655 | 2017-11-30 |
| 1942748058 | Christen Anders | Lactation Consultant, Non-RN | 4865 Sweetbriar St, Baton Rouge, LA 70808-8660 | 2017-02-09 |
| 1881139707 | Kristian Billiot | Lactation Consultant, Non-RN | 122 Cawthorn Dr, Slidell, LA 70458-1554 | 2017-01-01 |
| 1487904686 | Bethany Willis | Lactation Consultant, Non-RN | 2114 Spring Dr, Haynesville, LA 71038-5518 | 2012-09-14 |
| 1801495296 | Candyse Anne Matassa | Lactation Consultant, Non-RN | 5848 Menlo Dr, Baton Rouge, LA 70808-5047 | 2020-10-18 |
| 1447768312 | Jana Suzanne Mcdonald | Lactation Consultant, Non-RN | 5027 Paris Ave, New Orleans, LA 70122-2538 | 2018-01-12 |
| City | LAKE CHARLES |
| Zip Code | 70607 |
Please comment or provide details below to improve the information on EVON MARIE LAVERGNE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.