Healthcare Provider Details

I. General information

NPI: 1346166972
Provider Name (Legal Business Name): SAMANTHA CHRZANOWSKI IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4718 SHERMAN ST
DENVER CO
80216-2742
US

IV. Provider business mailing address

4718 SHERMAN ST
DENVER CO
80216-2742
US

V. Phone/Fax

Practice location:
  • Phone: 973-570-4501
  • Fax:
Mailing address:
  • Phone: 973-570-4501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-322236
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: