MEDICARE: MRS. FRANCESCA WATKINS IBCLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)	L-318578	NY

General Provider Information

NPI Number	:	1053209114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FRANCESCA WATKINS IBCLC

Provider Business Mailing Address
First Line	:	1400 INDIAN FALLS RD
Second Line	:
City	:	CORFU
State	:	NY
Zip	:	14036-9738
Country	:	US
Telephone Number	:	385-212-4542
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 INDIAN FALLS RD
Second Line	:
City	:	CORFU
State	:	NY
Zip	:	14036-9738
Country	:	US
Telephone Number	:	385-212-4542
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2025
Last Update Date	:	06/26/2025

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