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NPI Code Detail

MEDICARE: RACHAEL OEFFNER IBCLC

MEDICARE: RACHAEL OEFFNER IBCLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174N00000XLactation Consultant (Non-RN)

General Provider Information

NPI Number : 1326556390
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL OEFFNER IBCLC
Provider Business Mailing Address
First Line : 10165 KERRIGAN ST
Second Line :
City : SANTEE
State : CA
Zip : 92071-1284
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4443 30TH ST STE 205
Second Line :
City : SAN DIEGO
State : CA
Zip : 92116-4291
Country : US
Telephone Number : 619-806-0011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2018
Last Update Date : 01/22/2022

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Directions to “ RACHAEL OEFFNER IBCLC” Practice Location

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