Provider Demographics
NPI:1043606643
Name:ALLGAIER, AMBER (IBCLC)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:ALLGAIER
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 1:2001 N EMERSON ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-1947
Mailing Address - Country:US
Mailing Address - Phone:703-868-9466
Mailing Address - Fax:
Practice Address - Street 1:2001 N EMERSON ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22207-1947
Practice Address - Country:US
Practice Address - Phone:703-868-9466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-09
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAL-56590174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN