Provider Demographics
NPI:1144029133
Name:LEBEAU, LAUREN (IBCLC, RN)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:LEBEAU
Suffix:
Gender:F
Credentials:IBCLC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 E ATWATER AVE
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-3612
Mailing Address - Country:US
Mailing Address - Phone:630-347-0004
Mailing Address - Fax:
Practice Address - Street 1:421 E ATWATER AVE
Practice Address - Street 2:
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-3612
Practice Address - Country:US
Practice Address - Phone:630-347-0004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILL-141932163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant