Provider Demographics
NPI:1043767957
Name:MARGOT, ROBERTA (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:ROBERTA
Middle Name:
Last Name:MARGOT
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4927 AUBURN AVE
Mailing Address - Street 2:#100
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-2641
Mailing Address - Country:US
Mailing Address - Phone:301-943-9293
Mailing Address - Fax:
Practice Address - Street 1:4927 AUBURN AVE
Practice Address - Street 2:#100
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2641
Practice Address - Country:US
Practice Address - Phone:301-943-9293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN