Provider Demographics
NPI:1992533137
Name:VAISER, TATIANA (IBCLC)
Entity type:Individual
Prefix:
First Name:TATIANA
Middle Name:
Last Name:VAISER
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 1:14 SUMMER ST
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2127
Mailing Address - Country:US
Mailing Address - Phone:781-692-7933
Mailing Address - Fax:
Practice Address - Street 1:14 SUMMER ST
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-2127
Practice Address - Country:US
Practice Address - Phone:781-692-7933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN