MARA IRENE LUBIC (NPI# 1205209541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205209541 |
| Entity Type | Individual |
| Full Name | MARA IRENE LUBIC |
| Credential | LPN, IBCLC |
| Practice Address |
412 Parker Ln Columbia SC 29206-5847 |
| Practice Telephone | 9126041938 |
| Mailing Telephone | 9126041938 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164X00000X | Licensed Vocational Nurse | 300470 | TX | Nursing Service Providers |
| Y | 174N00000X | Lactation Consultant, Non-RN | L-86497 | SC | Other Service Providers |
| Street Address |
412 PARKER LN |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29206-5847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710403720 | Twila Wilson | Adult Companion | 5741 D Imboden Street, Columbia, SC 29206 | 2017-08-21 |
| 1164978961 | Uri Reisman | Social Worker | 3730 Rockbridge Rd, Columbia, SC 29206 | 2016-08-31 |
| 1902237621 | Ronald Patrick Pellicer | Counselor | 6941 N Trenholm Rd Ste F102, Columbia, SC 29206 | 2013-12-05 |
| 1316376791 | Laraine Kim Jenkins | Counselor | 5211 Trenholm Rd, Suite B, Columbia, SC 29206 | 2013-11-05 |
| 1437409802 | Charles B Roman IIi | Pharmacist | 4711-5 Forest Drive, Columbia, SC 29206 | 2012-09-13 |
| 1306129879 | Rickey Gene Ayers | Counselor | 1800 Forest Drive, C, Columbia, SC 29206 | 2011-09-21 |
| 1285924316 | Lexington County Health Services District, Inc. | Internal Medicine | 4540 Trenholm Road, Columbia, SC 29206 | 2011-04-11 |
| 1144547860 | Alicia K. Harvey | Counselor | 5115 Forest Plaza Suite D, The Art and Play Therapy Center of S.c., Columbia, SC 29206 | 2010-04-21 |
| 1669703880 | Crystal Coleman | Occupational Therapist | 5234 Circle Dr, Columbia, SC 29206 | 2010-01-28 |
| 1689896938 | Carolina Dental Associates, P.a. | Dentist | 5101 Forest Drive, Columbia, SC 29206 | 2007-05-03 |
| Find all providers in zip 29206 | ||||
| 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 |
|---|---|---|---|---|
| 1912526625 | Maria Luisa Suzzarini Torrealba | Lactation Consultant, Non-RN | 4511 Kentsfield Ln Apt 307, Columbia, MO 65201-3544 | 2020-04-13 |
| 1649717885 | Jennifer Kaczynski | Lactation Consultant, Non-RN | 373 Highland Point Dr, Columbia, SC 29229-7409 | 2017-01-26 |
| 1588114581 | Stephanie Johnson | Lactation Consultant, Non-RN | 3700 Teakwood Dr, Columbia, MO 65203-5803 | 2016-10-13 |
| 1932577442 | Kristyn Leonard | Lactation Consultant, Non-RN | 266 Ambling Cir, Columbia, SC 29210-3826 | 2015-09-14 |
| 1457648586 | Ann B Faust | Lactation Consultant, Non-RN | 9551 Wandering Way Ste B, Columbia, MD 21045-3244 | 2011-07-10 |
| 1922575919 | Heather Jo Hobbs | Lactation Consultant, Non-RN | 10630 Little Patuxent Pkwy Ste 128, Columbia, MD 21044-6233 | 2018-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104481258 | Rachel Ethridge Garrett | Lactation Consultant, Non-RN | 144 Brewers Oak Ln, West Columbia, SC 29169-3374 | 2019-05-03 |
| 1578126785 | Johanna Marie Scarino Lemons | Lactation Consultant, Non-RN | 504 Willow Branch Ln, Seneca, SC 29672 | 2019-04-15 |
| 1760926224 | Pamela Price | Lactation Consultant, Non-RN | 4443 Borrow Pit Rd, Hollywood, SC 29449-5991 | 2016-12-16 |
| 1487013900 | Naomi C. Hambleton | Lactation Consultant, Non-RN | 3117 Grass Marsh Dr, Mount Pleasant, SC 29466-8128 | 2016-02-11 |
| 1760883292 | Jeannie R Davis | Lactation Consultant, Non-RN | 131 Commonwealth Dr Ste 310, Greenville, SC 29615-4837 | 2014-09-16 |
| 1760894000 | Nursing Nurture | Lactation Consultant, Non-RN | 608 Parker Bowie Rd, Iva, SC 29655-9386 | 2014-05-21 |
| 1801228499 | Robin Ruth Gause | Lactation Consultant, Non-RN | 510 Fairwood Lakes Ave, 14-c, Myrtle Beach, SC 29588 | 2013-08-06 |
| 1770929945 | Julee Krechel | Lactation Consultant, Non-RN | 263 Commerce Dr Unit 101, Pawleys Island, SC 29585-6099 | 2013-05-15 |
| 1689922379 | Joann D Privette | Lactation Consultant, Non-RN | 106 Fairhaven Dr, Goose Creek, SC 29445-8001 | 2012-08-28 |
| 1942537535 | Lin W. Cook | Lactation Consultant, Non-RN | 1220 Maxwell St, North Charleston, SC 29405-4151 | 2009-11-03 |
| Find all providers with the same taxonomy | ||||
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| 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.