MEDICARE: CLEO MARCHESE LACTATION

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	:	1467313510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEO MARCHESE LACTATION

Provider Business Mailing Address
First Line	:	6924 BARBICAN DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75023-1332
Country	:	US
Telephone Number	:	214-505-3967
Fax Number	:	469-754-0907

Provider Business Practice Location Address
First Line	:	6924 BARBICAN DR
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75023-1332
Country	:	US
Telephone Number	:	214-505-3967
Fax Number	:	469-754-0907

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	CLEOPATRA MARCHESE
Credential	:	IBCLC,RLC
Telephone Number	:	214-505-3967

Provider Enumeration Date	:	11/19/2025
Last Update Date	:	04/01/2026

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