Healthcare Provider Details

I. General information

NPI: 1194050252
Provider Name (Legal Business Name): DANIELLE MARIE LUGRAND CPE, LCCE, CLC, MW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2009
Last Update Date: 10/28/2022
Certification Date: 10/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2322 N INTERSTATE DR STE 2
NORMAN OK
73072-2942
US

IV. Provider business mailing address

1608 NORTHCREST DR
NORMAN OK
73071-7415
US

V. Phone/Fax

Practice location:
  • Phone: 405-819-4904
  • Fax: 405-896-8741
Mailing address:
  • Phone: 405-819-4904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberCOPE
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberALPP-209583
License Number State
# 3
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License NumberDONA-1609
License Number State
# 5
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: