Individual provider · Type 1 NPI

Stacie Marie Hogan, BSN, IBCLC

Lactation Consultant (Registered Nurse) · Roanoke, VA

NPI number 1003514696 Active

Practice location

3142 Brambleton Ave
Roanoke, VA 24018-3727

Mailing address

5416 Setter Rd
Roanoke, VA 24012-8548

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) 163WL0100XL-309498 (VA)
Lactation Consultant (Registered Nurse) Primary 163WL0100XL-309398 (VA)

Lactation Consultant (Registered Nurse): Definition to come...

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About NPI 1003514696

Stacie Marie Hogan, BSN, IBCLC's National Provider Identifier is 1003514696, issued on Feb 22, 2023. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Roanoke, VA. The record was last updated on Feb 22, 2023.