Provider Demographics
NPI:1295029619
Name:FINGER, CARRIE LEE (IBCLC)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:LEE
Last Name:FINGER
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 1:2101 BRAEMAR RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-2003
Mailing Address - Country:US
Mailing Address - Phone:510-842-8289
Mailing Address - Fax:
Practice Address - Street 1:2101 BRAEMAR RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94602-2003
Practice Address - Country:US
Practice Address - Phone:510-842-8289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2011-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC198-14648174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN