Provider Demographics
NPI:1902611411
Name:LETTMAN, NATASHA (IBCLC)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:LETTMAN
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 1:2643 BODDINGTON LN
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-9488
Mailing Address - Country:US
Mailing Address - Phone:630-340-0221
Mailing Address - Fax:
Practice Address - Street 1:5877 CENTRAL AVE STE B
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:IN
Practice Address - Zip Code:46368-2967
Practice Address - Country:US
Practice Address - Phone:219-229-9330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN