Healthcare Provider Details

I. General information

NPI: 1205757747
Provider Name (Legal Business Name): CHELSIE LUQUETTE DOMINGUES IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 N HOSPITAL DR
ABBEVILLE LA
70510-4039
US

IV. Provider business mailing address

4106 MORGAN RD
ERATH LA
70533-6019
US

V. Phone/Fax

Practice location:
  • Phone: 337-898-6450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-322279
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: