Erica L Ciccone, CLC

Individual provider Active NPI Lactation Consultant (Non-RN) · Macclenny, FL

NPI 1295567295 · NPPES record last updated Aug 17, 2024

Key facts

NPI
1295567295
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
Practice address
231 N 5TH St
Macclenny, FL 32063-2005
Phone
(315) 360-8882
NPI assigned
Aug 17, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X FL Yes

Addresses

Primary practice location

231 N 5TH St
Macclenny, FL 32063-2005

Mailing address

231 N 5TH St
Macclenny, FL 32063-2005
Phone (315) 360-8882

Other providers in Macclenny, FL

All providers in Macclenny, FL · Lactation Consultant (Non-RN) in Florida

Sources for this page

Verify at the official NPI Registry.