Individual provider · Type 1 NPI

Taryn Lee Phanthanusorn, IBCLC

Lactation Consultant (Non-RN) · Mission Viejo, CA

NPI number 1164812467 Active

Practice location

23315 Via Bahia
Mission Viejo, CA 92691-2115

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Non-RN) Primary 174N00000X11242387 (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 1164812467

Taryn Lee Phanthanusorn, IBCLC's National Provider Identifier is 1164812467, issued on Jan 26, 2015. The primary taxonomy on file is Lactation Consultant (Non-RN) (174N00000X), and the practice location is in Mission Viejo, CA. The record was last updated on Jan 26, 2015.