Individual provider · Type 1 NPI

Emily Grace Ellis, BSN, RN, IBCLC

Lactation Consultant (Registered Nurse) · Lake Forest, CA

NPI number 1467359778 Active

Practice location

26672 Rio Hondo Cir
Lake Forest, CA 92630-5732

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) Primary 163WL0100XL-322787 (CA)

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

About NPI 1467359778

Emily Grace Ellis, BSN, RN, IBCLC's National Provider Identifier is 1467359778, issued on Oct 21, 2026. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Lake Forest, CA. The record was last updated on Oct 21, 2026.