Individual provider · Type 1 NPI

Daresa Gordon

Lactation Consultant (Non-RN) · Manchester, CT

NPI number 1053260208 Active

Practice location

38 Cone St
Manchester, CT 06040-4450

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse 164W00000X028566 (CT)
Lactation Consultant (Non-RN) Primary 174N00000XNone listed

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 1053260208

Daresa Gordon's National Provider Identifier is 1053260208, issued on Jan 22, 2026. The primary taxonomy on file is Lactation Consultant (Non-RN) (174N00000X), and the practice location is in Manchester, CT. The record was last updated on Jan 22, 2026.