Provider Demographics
NPI:1588316517
Name:LITCHFIELD, RACHEL (IBCLC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:LITCHFIELD
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 1:73-4359 WAIPAHE ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-8568
Mailing Address - Country:US
Mailing Address - Phone:239-285-5503
Mailing Address - Fax:
Practice Address - Street 1:73-4359 WAIPAHE ST
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-8568
Practice Address - Country:US
Practice Address - Phone:239-285-5503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-305750174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN