Provider Demographics
NPI:1346914025
Name:DAMBROT, ALANA (IBCLC)
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:
Last Name:DAMBROT
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 1:1 ROXITICUSVIEW
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-3020
Mailing Address - Country:US
Mailing Address - Phone:908-963-6037
Mailing Address - Fax:
Practice Address - Street 1:1 ROXITICUSVIEW
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-3020
Practice Address - Country:US
Practice Address - Phone:908-963-6037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJL-303539174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN