Provider Demographics
NPI:1578037511
Name:UHL, MELISSA ERIN (IBCLC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ERIN
Last Name:UHL
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 1:909 SCHOOLHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-2417
Mailing Address - Country:US
Mailing Address - Phone:623-428-4080
Mailing Address - Fax:
Practice Address - Street 1:909 SCHOOLHOUSE LN
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-2417
Practice Address - Country:US
Practice Address - Phone:623-428-4080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-13
Last Update Date:2019-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-149785174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN