Healthcare Provider Details

I. General information

NPI: 1154728533
Provider Name (Legal Business Name): RENEE LEPREAU LM, CPM, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2014
Last Update Date: 04/18/2025
Certification Date: 04/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1122 E 21ST ST
OAKLAND CA
94606-3130
US

IV. Provider business mailing address

1122 E 21ST ST
OAKLAND CA
94606-3130
US

V. Phone/Fax

Practice location:
  • Phone: 510-406-8333
  • Fax:
Mailing address:
  • Phone: 510-406-8333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-152582
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number412
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: