Provider Demographics
NPI:1962060665
Name:ANNIE PICARD, IBCLC
Entity type:Organization
Organization Name:ANNIE PICARD, IBCLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IBCLC
Authorized Official - Prefix:
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PICARD
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:610-389-6946
Mailing Address - Street 1:43 CEMETERY LN
Mailing Address - Street 2:
Mailing Address - City:SCHWENKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19473-1730
Mailing Address - Country:US
Mailing Address - Phone:610-389-6946
Mailing Address - Fax:
Practice Address - Street 1:43 CEMETERY LN
Practice Address - Street 2:
Practice Address - City:SCHWENKSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19473-1730
Practice Address - Country:US
Practice Address - Phone:610-389-6946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-29
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty