Healthcare Provider Details

I. General information

NPI: 1245174523
Provider Name (Legal Business Name): MARGARET M PANKOW RN, IBCLC, CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARET HOWE RN, IBCLC, CLC

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 COTTONWOOD AVE STE 9
HARTLAND WI
53029-2043
US

IV. Provider business mailing address

300 COTTONWOOD AVE STE 9
HARTLAND WI
53029-2043
US

V. Phone/Fax

Practice location:
  • Phone: 262-204-7574
  • Fax: 262-269-1219
Mailing address:
  • Phone: 262-204-7574
  • Fax: 262-269-1219

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number257192-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: