Healthcare Provider Details

I. General information

NPI: 1023922846
Provider Name (Legal Business Name): ELIZABETH N ENGLUND RN IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 BALBOA DR
OAKLAND CA
94611-2316
US

IV. Provider business mailing address

5801 BALBOA DR
OAKLAND CA
94611-2316
US

V. Phone/Fax

Practice location:
  • Phone: 925-286-0023
  • Fax:
Mailing address:
  • Phone: 925-286-0023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number95146727
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: