LISA BROUGHTON


Address: 4478 Pitch Pine Ct, Concord, CA 94521-4406
Phone: 9253232627

LISA BROUGHTON (NPI# 1245772441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245772441
Entity Type Individual
Full Name LISA BROUGHTON
Credential IBCLC
Practice Address 4478 Pitch Pine Ct
Concord
CA 94521-4406
Practice Telephone 9253232627
Mailing Telephone 9253232627
Enumeration Date 2016-11-06
Last Update Date 2016-11-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174N00000X Lactation Consultant, Non-RN Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA IBCLC L-16437 01

Office Location

Street Address 4478 PITCH PINE CT
City CONCORD
State CA
Zip Code 94521-4406

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1720365026 Danielle Liane Allen Occupational Therapist 4367 Concord Blvd., Concord, CA 94521 2011-11-15
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Taxonomy Information

Taxonomy Code 174N00000X
Grouping Other Service Providers
Classification Lactation Consultant, Non-RN

Taxonomy Definition

An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.
Notes: Source: National Uniform Claim Committee [1/1/2011: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700433117 Amanda Jo Howell Lactation Consultant, Non-RN 5307 Kim St Sw, Concord, NC 28027-3905 2019-08-20
1811407984 Araceli J Trejo Lactation Consultant, Non-RN 2355 Stanwell Cir, Concord, CA 94520-4806 2017-10-03
1669712485 Celina I Dykstra Lactation Consultant, Non-RN 9a Pine St, Concord, NH 03301-3828 2013-02-15
1033739669 Eva Zendejas Vera Lactation Consultant, Non-RN 2355 Stanwell Cir, Concord, CA 94520-4806 2020-04-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154922722 Ashley Elizabeth Tehrani Lactation Consultant, Non-RN 3722 Arnold Ave Apt 5, San Diego, CA 92104-3481 2020-11-02
1760083216 Teresa Marie Peters Lactation Consultant, Non-RN 1120 S Santa Anita Ave Apt A, Arcadia, CA 91006-4029 2020-11-02
1982203667 Paula Conriquez Lactation Consultant, Non-RN 6230 Drop Off Rd, Pollock Pines, CA 95726-9633 2020-10-22
1265031397 Arabella Hancock Lactation Consultant, Non-RN 1038 Rose Ave, Pasadena, CA 91107-1867 2020-10-20
1194331314 Madison Benstead Lactation Consultant, Non-RN 26672 Fino Ct, Redlands, CA 92373-4318 2020-09-22
1952917189 Kayla Benado Lactation Consultant, Non-RN 4653 California Blvd, Santa Maria, CA 93455-4158 2020-09-22
1376152835 Rebecca Howell Lactation Consultant, Non-RN 4811 N Bellflower Blvd, Long Beach, CA 90808-1121 2020-07-30
1740898659 Heidi Burke-pevney Lactation Consultant, Non-RN 1808 Sheridan Way, San Marcos, CA 92078-0929 2020-07-16
1942828140 Megan Zoe Barrett Lactation Consultant, Non-RN 49 Bonita Ave, Piedmont, CA 94611-3947 2020-07-14
1225659840 Antonina Proshak Lactation Consultant, Non-RN 811 Grand Ave Ste A1, Sacramento, CA 95838-3466 2020-05-05
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Competitor

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City CONCORD
Zip Code 94521

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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