Individual provider · Type 1 NPI
Alyssa Charboneau, RN, IBCLC, CLC
Lactation Consultant (Registered Nurse) · Springfield, OR
NPI number
1780412593
Active
Practice location
1361 Modoc St
Springfield, OR 97477-4124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Registered Nurse) | 163WL0100X | 201800176RN (OR) |
| Lactation Consultant (Registered Nurse) Primary | 163WL0100X | L-315382 (OR) |
Lactation Consultant (Registered Nurse): Definition to come...
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About NPI 1780412593
Alyssa Charboneau, RN, IBCLC, CLC's National Provider Identifier is 1780412593, issued on Jul 23, 2024. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in Springfield, OR. The record was last updated on Feb 11, 2025.