Provider Demographics
NPI:1437589488
Name:LAUDUCCI, DANA KAWALAUTZKI (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:KAWALAUTZKI
Last Name:LAUDUCCI
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 1:13 LAUREL CT
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3492
Mailing Address - Country:US
Mailing Address - Phone:908-575-8428
Mailing Address - Fax:
Practice Address - Street 1:13 LAUREL CT
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3492
Practice Address - Country:US
Practice Address - Phone:908-575-8428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJL-46164174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN