Provider Demographics
NPI:1629475769
Name:VANDERLIP, VALERIE (IBCLC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:VANDERLIP
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 1:615 UPPER SONDLEY DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-1175
Mailing Address - Country:US
Mailing Address - Phone:828-279-4556
Mailing Address - Fax:
Practice Address - Street 1:615 UPPER SONDLEY DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-1175
Practice Address - Country:US
Practice Address - Phone:828-279-4556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-03
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174N00000X
GA34154174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN