Provider Demographics
NPI:1215684915
Name:YURKOVETSKIY, VIKTORIYA (IBCLC)
Entity type:Individual
Prefix:
First Name:VIKTORIYA
Middle Name:
Last Name:YURKOVETSKIY
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 1:7906 S JAMESTOWN CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-6225
Mailing Address - Country:US
Mailing Address - Phone:720-979-2288
Mailing Address - Fax:
Practice Address - Street 1:7906 S JAMESTOWN CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-6225
Practice Address - Country:US
Practice Address - Phone:720-979-2288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COL-110615174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN