Provider Demographics
NPI:1326399841
Name:MEEHAN, KAREN F (IBCLC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:F
Last Name:MEEHAN
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 1:269 VALLE VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-2312
Mailing Address - Country:US
Mailing Address - Phone:626-359-6787
Mailing Address - Fax:
Practice Address - Street 1:269 VALLE VISTA AVE
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-2312
Practice Address - Country:US
Practice Address - Phone:626-359-6787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC10218468174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN