MEDICARE: JULEE KRECHEL 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)	L-49698

General Provider Information

NPI Number	:	1770929945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULEE KRECHEL IBCLC

Provider Business Mailing Address
First Line	:	PO BOX 2036
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-2036
Country	:	US
Telephone Number	:	843-310-4650
Fax Number	:	843-589-1071

Provider Business Practice Location Address
First Line	:	14323 OCEAN HWY UNIT 4103
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-4817
Country	:	US
Telephone Number	:	843-310-4650
Fax Number	:	843-589-1071

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

Provider Enumeration Date	:	05/15/2013
Last Update Date	:	03/14/2022

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