Provider Demographics
NPI:1215491238
Name:VANDELINDE, ERIN ELIZABETH (CLC, IBCLC, LCCE)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:ELIZABETH
Last Name:VANDELINDE
Suffix:
Gender:F
Credentials:CLC, IBCLC, LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 MOUNT CHESTNUT RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-7745
Mailing Address - Country:US
Mailing Address - Phone:540-526-6180
Mailing Address - Fax:
Practice Address - Street 1:7201 MOUNT CHESTNUT RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-7745
Practice Address - Country:US
Practice Address - Phone:540-526-6180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA18459174H00000X
VA282392174N00000X
VAL-132108174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No174H00000XOther Service ProvidersHealth Educator