Healthcare Provider Details

I. General information

NPI: 1467700781
Provider Name (Legal Business Name): SHARON JANE CURRY IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2012
Last Update Date: 08/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8404 WESTMONT CT
BETHESDA MD
20817-6811
US

IV. Provider business mailing address

8404 WESTMONT CT
BETHESDA MD
20817-6811
US

V. Phone/Fax

Practice location:
  • Phone: 301-365-2442
  • Fax:
Mailing address:
  • Phone: 301-365-2442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number10622537
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: