Provider Demographics
NPI:1497142657
Name:CRANE, AIMEE (CPM, IBCLC)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:
Last Name:CRANE
Suffix:
Gender:F
Credentials:CPM, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7803 WINDY POINT CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22153-4115
Mailing Address - Country:US
Mailing Address - Phone:703-861-0090
Mailing Address - Fax:
Practice Address - Street 1:7803 WINDY POINT CT
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22153-4115
Practice Address - Country:US
Practice Address - Phone:703-861-0090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN