Provider Demographics
NPI:1386303378
Name:LAMONDA, ALICIA C (IBCLC, RN, CPD, PMHC)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:C
Last Name:LAMONDA
Suffix:
Gender:F
Credentials:IBCLC, RN, CPD, PMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 DORSET HTS
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-8121
Mailing Address - Country:US
Mailing Address - Phone:413-884-4259
Mailing Address - Fax:
Practice Address - Street 1:320 DORSET HTS
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-8121
Practice Address - Country:US
Practice Address - Phone:413-884-4259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-17
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT026.0151512163WL0100X
VT83-2997014251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No251K00000XAgenciesPublic Health or Welfare