Provider Demographics
NPI:1285349365
Name:ARMSTRONG, RENEE (IBCLC)
Entity type:Individual
Prefix:MRS
First Name:RENEE
Middle Name:
Last Name:ARMSTRONG
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 1:11161 ANDERSON ST STE 105
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-2823
Mailing Address - Country:US
Mailing Address - Phone:980-254-5470
Mailing Address - Fax:
Practice Address - Street 1:24784 DAISY AVE
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3307
Practice Address - Country:US
Practice Address - Phone:980-254-5470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN