MEDICARE: KAREN LIGHTON FOARD M.ED., 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)	L15444	PA

General Provider Information

NPI Number	:	1548476187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN LIGHTON FOARD M.ED., IBCLC

Provider Business Mailing Address
First Line	:	2526 TARA CIR
Second Line	:
City	:	STATE COLLEGE
State	:	PA
Zip	:	16803-2274
Country	:	US
Telephone Number	:	814-237-1506
Fax Number	:

Provider Business Practice Location Address
First Line	:	2526 TARA CIR
Second Line	:
City	:	STATE COLLEGE
State	:	PA
Zip	:	16803-2274
Country	:	US
Telephone Number	:	814-237-1506
Fax Number	:

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

Provider Enumeration Date	:	05/14/2007
Last Update Date	:	01/03/2014

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