Provider Demographics
NPI:1558773739
Name:ZOLONDEK, SHARON (IBCLC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:ZOLONDEK
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 1:4703 S LAKESHORE DR
Mailing Address - Street 2:#2
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7159
Mailing Address - Country:US
Mailing Address - Phone:480-442-8491
Mailing Address - Fax:
Practice Address - Street 1:4703 S LAKESHORE DR
Practice Address - Street 2:#2
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7159
Practice Address - Country:US
Practice Address - Phone:480-442-8491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ11033288174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN