Provider Demographics
NPI:1154728533
Name:LEPREAU, RENEE (LM, CPM, IBCLC)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:LEPREAU
Suffix:
Gender:
Credentials:LM, CPM, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-3130
Mailing Address - Country:US
Mailing Address - Phone:510-406-8333
Mailing Address - Fax:
Practice Address - Street 1:1122 E 21ST ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-3130
Practice Address - Country:US
Practice Address - Phone:510-406-8333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-01
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-152582174N00000X
374J00000X
CA412176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula