Provider Demographics
NPI:1497174304
Name:DIXON, ALANNA (IBCLC)
Entity Type:Individual
Prefix:
First Name:ALANNA
Middle Name:
Last Name:DIXON
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 1:320 AVENUE B
Mailing Address - Street 2:
Mailing Address - City:KEY LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33037-4845
Mailing Address - Country:US
Mailing Address - Phone:850-510-2614
Mailing Address - Fax:
Practice Address - Street 1:320 AVENUE B
Practice Address - Street 2:
Practice Address - City:KEY LARGO
Practice Address - State:FL
Practice Address - Zip Code:33037-4845
Practice Address - Country:US
Practice Address - Phone:850-510-2614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-15254174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN