MEDICARE: SARAH MCNAMARA 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-306400	NH

General Provider Information

NPI Number	:	1740962406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH MCNAMARA IBCLC

Provider Business Mailing Address
First Line	:	8 CRICKET CORNER RD
Second Line	:
City	:	AMHERST
State	:	NH
Zip	:	03031-2021
Country	:	US
Telephone Number	:	603-854-1895
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 CRICKET CORNER RD
Second Line	:
City	:	AMHERST
State	:	NH
Zip	:	03031-2021
Country	:	US
Telephone Number	:	603-854-1895
Fax Number	:

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

Provider Enumeration Date	:	08/02/2023
Last Update Date	:	08/02/2023

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