Individual provider · Type 1 NPI

Lisa Marie Richardson, IBCLC

Lactation Consultant (Registered Nurse) · East Peoria, IL

NPI number 1841118403 Active

Practice location

111 Terrace Ln
East Peoria, IL 61611-2164

Specialties and licenses

TaxonomyCodeLicense
Lactation Consultant (Registered Nurse) Primary 163WL0100XL-301272 (IL)

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

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About NPI 1841118403

Lisa Marie Richardson, IBCLC's National Provider Identifier is 1841118403, issued on Jul 9, 2026. The primary taxonomy on file is Lactation Consultant (Registered Nurse) (163WL0100X), and the practice location is in East Peoria, IL. The record was last updated on Jul 9, 2026.