Provider Demographics
NPI:1407152408
Name:LUKEHART, ROCHELLE (RN IBCLC)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:LUKEHART
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 1:34677 ROAD 176
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-9197
Mailing Address - Country:US
Mailing Address - Phone:559-300-4996
Mailing Address - Fax:
Practice Address - Street 1:34677 ROAD 176
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-9197
Practice Address - Country:US
Practice Address - Phone:559-300-4996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-08
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA358193163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant