Provider Demographics
NPI:1568829091
Name:ALCE, ALLIKA (IBCLC)
Entity Type:Individual
Prefix:
First Name:ALLIKA
Middle Name:
Last Name:ALCE
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 1:2120 LILIPETAL CT
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:FL
Mailing Address - Zip Code:32771-6839
Mailing Address - Country:US
Mailing Address - Phone:407-480-6098
Mailing Address - Fax:
Practice Address - Street 1:2120 LILIPETAL CT
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-6839
Practice Address - Country:US
Practice Address - Phone:407-480-6098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-28
Last Update Date:2016-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11212226174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN