Individual provider · Type 1 NPI
Ilene Ellen Fabisch, IBCLC
Specialist · Brockton, MA
NPI number
1649505058
Active
Practice location
664 Pearl St
Brockton, MA 02301-4527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1649505058
Ilene Ellen Fabisch, IBCLC's National Provider Identifier is 1649505058, issued on Oct 3, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Brockton, MA. The record was last updated on Oct 3, 2009.