Provider Demographics
NPI:1265031397
Name:HANCOCK, ARABELLA (IBCLC, LCCE)
Entity Type:Individual
Prefix:MRS
First Name:ARABELLA
Middle Name:
Last Name:HANCOCK
Suffix:
Gender:F
Credentials:IBCLC, LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1038 ROSE AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-1867
Mailing Address - Country:US
Mailing Address - Phone:626-354-0179
Mailing Address - Fax:
Practice Address - Street 1:1038 ROSE AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-1867
Practice Address - Country:US
Practice Address - Phone:626-354-0179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-109920174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN