MEDICARE: DANIELLE MARONE 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)		CA

General Provider Information

NPI Number	:	1982553020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE MARONE IBCLC

Provider Business Mailing Address
First Line	:	2274 45TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94116-1503
Country	:	US
Telephone Number	:	415-310-1870
Fax Number	:

Provider Business Practice Location Address
First Line	:	2274 45TH AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94116-1503
Country	:	US
Telephone Number	:	415-310-1870
Fax Number	:

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

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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