Provider Demographics
NPI:1588436208
Name:ROMERO, RACHEL (IBCLC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:ROMERO
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 1:207 BODINGTON CT
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-5542
Mailing Address - Country:US
Mailing Address - Phone:813-507-3894
Mailing Address - Fax:
Practice Address - Street 1:207 BODINGTON CT
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-5542
Practice Address - Country:US
Practice Address - Phone:813-507-3894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL109078174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN