Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEONTINE WALLACE, RN, BSN
ActiveLEONTINE WALLACE, RN, BSN is a Lactation Consultant Nurse healthcare provider located in WEST BLOOMFIELD, Michigan. NPI 1053800649 is currently active in the NPPES registry. Verify at CMS.
Lactation Consultant Nurse · WEST BLOOMFIELD, MI
Registration Details
- NPI Number
- 1053800649
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 9, 2018 (8.2333552240096 yrs)
- Last Updated
- May 9, 2018
- Licenses
-
4704318023 (MI)4704318023 (MI)
Practice Information
- Address
-
2300 HAGGERTY RD STE 2110WEST BLOOMFIELD, MI, 483232191Browse MI providers · Browse ZIP 48323
- Phone
- 2489261420
- Fax
- 2489265338
- Primary Specialty
-
Lactation Consultant Nurse
163WL0100X
- Additional Specialty
- Lactation Consultant Nurse
Other Lactation Consultant Nurse Providers in WEST BLOOMFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. MAJA CERIMAGIC | RN, IBCLC | 1033604533 |
| THERESA HOPE MADOUN | RN, BSN, IBCLC | 1790392959 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.