Healthcare Provider Details

I. General information

NPI: 1386303378
Provider Name (Legal Business Name): ALICIA C LAMONDA APRN, IBCLC, PMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2021
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4066 SHELBURNE RD
SHELBURNE VT
05482-6905
US

IV. Provider business mailing address

4066 SHELBURNE RD
SHELBURNE VT
05482-6905
US

V. Phone/Fax

Practice location:
  • Phone: 802-500-6867
  • Fax: 802-318-4682
Mailing address:
  • Phone: 802-500-6867
  • Fax: 802-318-4682

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number026.0151512
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number101.0139364
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: