Provider Demographics
NPI:1699067082
Name:BURTON, ANGELA KAREN (IBCLC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:KAREN
Last Name:BURTON
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 1:100 ORION CT
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-2622
Mailing Address - Country:US
Mailing Address - Phone:757-876-5144
Mailing Address - Fax:757-766-1632
Practice Address - Street 1:100 ORION CT
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23693-2622
Practice Address - Country:US
Practice Address - Phone:757-876-5144
Practice Address - Fax:757-766-1632
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN