Provider Demographics
NPI:1528650231
Name:STONE, RACHEL (IBCLC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:STONE
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 1:5812 SWEENEY CIR APT C
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-3658
Mailing Address - Country:US
Mailing Address - Phone:806-570-9637
Mailing Address - Fax:
Practice Address - Street 1:5812 SWEENEY CIR APT C
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-3658
Practice Address - Country:US
Practice Address - Phone:806-570-9637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-04
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN