Healthcare Provider Details

I. General information

NPI: 1649188194
Provider Name (Legal Business Name): ELIZABETH ANNE WARD IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1761 FLORET DR
WINDSOR CO
80550-3480
US

IV. Provider business mailing address

1761 FLORET DR
WINDSOR CO
80550-3480
US

V. Phone/Fax

Practice location:
  • Phone: 970-347-9534
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-322691
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: