MEDICARE: ANGELA MARIE LOVE-ZARANKA IBCLC, RLC

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	174400000X	Specialist

General Provider Information

NPI Number	:	1851508733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA MARIE LOVE-ZARANKA IBCLC, RLC

Provider Business Mailing Address
First Line	:	5705 TREMONT DR
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22303-1226
Country	:	US
Telephone Number	:	703-960-0586
Fax Number	:	703-960-4308

Provider Business Practice Location Address
First Line	:	5705 TREMONT DR
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22303-1226
Country	:	US
Telephone Number	:	703-960-0586
Fax Number	:	703-960-4308

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

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	07/08/2007

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