Individual provider · Type 1 NPI

Diana Stephanie Clark, IBCLC

Lactation Consultant (Non-RN) · Azusa, CA

NPI number 1003630666 Active

Practice location

28 Mountain Laurel Way
Azusa, CA 91702-6264

Other practice locations

  • 1621 W Carroll Ave, Chicago, IL 60612-2501 · (888) 510-0059

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Non-RN) Primary 174N00000X11137880 (CA)

Lactation Consultant (Non-RN): 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.

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About NPI 1003630666

Diana Stephanie Clark, IBCLC's National Provider Identifier is 1003630666, issued on Nov 11, 2024. The primary taxonomy on file is Lactation Consultant (Non-RN) (174N00000X), and the practice location is in Azusa, CA. The record was last updated on Nov 11, 2024.