Individual provider · Type 1 NPI
Stephanie Ingram Raczkowski, RN, PHN, IBCLC
Lactation Consultant (Registered Nurse) · Mariposa, CA
NPI number
1619462249
Active
Practice location
4536 Highway 49 S
Mariposa, CA 95338-9326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | 802712 (CA) |
Lactation Consultant (Registered Nurse): Definition to come...
About NPI 1619462249
Stephanie Ingram Raczkowski, RN, PHN, IBCLC's National Provider Identifier is 1619462249, issued on Jun 26, 2018. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Mariposa, CA. The record was last updated on Jun 26, 2018.