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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LACIE VIDOVICH, RN, IBCLC

Active

LACIE VIDOVICH, RN, IBCLC is a Lactation Consultant Nurse healthcare provider located in LAKESIDE, California. NPI 1295486694 is currently active in the NPPES registry. Verify at CMS.

Lactation Consultant Nurse · LAKESIDE, CA

Registration Details

NPI Number
1295486694
Provider Type
Individual
Gender
Female
NPI Issued
Jan 17, 2022 (4.5750048941001 yrs)
Last Updated
Jan 17, 2022
License
806895 (CA)

Practice Information

Address
15770 MISS ELLIE LN
LAKESIDE, CA, 920402600
Browse CA providers · Browse ZIP 92040
Phone
6195926680
Primary Specialty
Lactation Consultant Nurse
163WL0100X
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.