Provider Demographics
NPI:1124510516
Name:ASHBURN, CLAIR F (IBCLC)
Entity type:Individual
Prefix:
First Name:CLAIR
Middle Name:F
Last Name:ASHBURN
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 1:1112 COLEMAN ST
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-3860
Mailing Address - Country:US
Mailing Address - Phone:919-302-5959
Mailing Address - Fax:
Practice Address - Street 1:1112 COLEMAN ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-3860
Practice Address - Country:US
Practice Address - Phone:919-302-5959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-01
Last Update Date:2018-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL-136369174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN