Healthcare Provider Details

I. General information

NPI: 1760372130
Provider Name (Legal Business Name): LENA QUINLAN
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10857 T.6 LN
RAPID RIVER MI
49878-9705
US

IV. Provider business mailing address

10857 T.6 LN
RAPID RIVER MI
49878-9705
US

V. Phone/Fax

Practice location:
  • Phone: 906-322-2610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: