Provider Demographics
NPI:1467709618
Name:GOLD, ANNE (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:
Last Name:GOLD
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:ANIA
Other - Middle Name:
Other - Last Name:GOLD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:IBCLC
Mailing Address - Street 1:8709 GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-6705
Mailing Address - Country:US
Mailing Address - Phone:240-620-5134
Mailing Address - Fax:
Practice Address - Street 1:8709 GARFIELD ST
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-6705
Practice Address - Country:US
Practice Address - Phone:240-620-5134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-07
Last Update Date:2012-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN