Provider Demographics
NPI:1063373579
Name:BALDWIN, ZABRACCA (IBCLC)
Entity type:Individual
Prefix:
First Name:ZABRACCA
Middle Name:
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10726 COUNTY ROAD 37 NE
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55301-9660
Mailing Address - Country:US
Mailing Address - Phone:320-330-4112
Mailing Address - Fax:
Practice Address - Street 1:10726 COUNTY ROAD 37 NE
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:MN
Practice Address - Zip Code:55301-9660
Practice Address - Country:US
Practice Address - Phone:320-330-4112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNL-315106174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN