Healthcare Provider Details

I. General information

NPI: 1659224830
Provider Name (Legal Business Name): ALLISON LENIHAN MSN, RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 FRANKLIN AVE
NORMAL IL
61761-3558
US

IV. Provider business mailing address

9358 WILSHIRE LN
BLOOMINGTON IL
61705-5201
US

V. Phone/Fax

Practice location:
  • Phone: 309-268-5371
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number041468887
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: