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

DIANE DISANDRO, IBCLC

Active Sole Proprietor

DIANE DISANDRO, IBCLC is a Specialist healthcare provider located in AUDUBON, Pennsylvania. NPI 1770792749 is currently active in the NPPES registry. Verify at CMS.

Specialist · AUDUBON, PA

Registration Details

NPI Number
1770792749
Provider Type
Individual
Gender
Female
NPI Issued
May 22, 2007 (19.194841814633 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
688 SUNNYSIDE AVE
AUDUBON, PA, 194031739
Browse PA providers · Browse ZIP 19403
Phone
6105394476
Fax
6105396308
Primary Specialty
Specialist
174400000X
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.