MEDICARE: MRS. JEANNE MARIE HEINZE TOMASI RN,BSN,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	163WL0100X	Lactation Consultant (Registered Nurse)	RN290854	OH

General Provider Information

NPI Number	:	1447113907
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JEANNE MARIE HEINZE TOMASI RN,BSN,IBCLC

Provider Business Mailing Address
First Line	:	2446 DRUMMOND RD
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-3127
Country	:	US
Telephone Number	:	419-297-9591
Fax Number	:

Provider Business Practice Location Address
First Line	:	8248 MAYBERRY SQ N
Second Line	:
City	:	SYLVANIA
State	:	OH
Zip	:	43560-9457
Country	:	US
Telephone Number	:	419-297-9591
Fax Number	:

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

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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