MEDICARE: SEBRINA SCHMITTLE 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
1	174N00000X	Lactation Consultant (Non-RN)

General Provider Information

NPI Number	:	1346138260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEBRINA SCHMITTLE IBCLC

Provider Business Mailing Address
First Line	:	5720 BRAMPTON RD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45429-6006
Country	:	US
Telephone Number	:	831-917-9776
Fax Number	:

Provider Business Practice Location Address
First Line	:	6320 E KEMPER RD STE 150
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45241-2394
Country	:	US
Telephone Number	:	831-917-9776
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2025
Last Update Date	:	06/27/2025

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