Provider Demographics
NPI:1598569782
Name:GREER, CARA (IBCLC)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:GREER
Suffix:
Gender:
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7708 RICHMOND HWY # 1089
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-2803
Mailing Address - Country:US
Mailing Address - Phone:804-855-7796
Mailing Address - Fax:
Practice Address - Street 1:7708 RICHMOND HWY # 1089
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-2803
Practice Address - Country:US
Practice Address - Phone:804-855-7796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAL-313072163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant