Marion Henson Lamb, RN, IBCLC

Individual provider Active NPI Lactation Consultant (Registered Nurse) · Palmyra, VA

NPI 1982231007 · NPPES record last updated Mar 26, 2020

Key facts

NPI
1982231007
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Registered Nurse) 163WL0100X
License
001070862 (VA)
Practice address
75 Wildwood Dr
Palmyra, VA 22963-2225
Phone
(703) 407-1415
NPI assigned
Mar 26, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
001070862VAMDLactation Consultant (Registered Nurse)

Practice roles

OrganizationSpecialtyStatusNew patients
Breastfeeding Blues & Bliss Lactation Consultant Past
since Mar 29, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse)
Group: 193400000X SINGLE SPECIALTY GROUP
163WL0100X 001070862 VA Yes

Addresses

Primary practice location

75 Wildwood Dr
Palmyra, VA 22963-2225

Mailing address

75 Wildwood Dr
Palmyra, VA 22963-2225
Phone (703) 407-1415

Other providers in Palmyra, VA

All providers in Palmyra, VA · Lactation Consultant (Registered Nurse) in Virginia

Sources for this page

Verify at the official NPI Registry.