Provider Demographics
NPI:1689126393
Name:SECHKO, HEATHER LEE (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:LEE
Last Name:SECHKO
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 PINECONE LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01772-1245
Mailing Address - Country:US
Mailing Address - Phone:617-620-8095
Mailing Address - Fax:
Practice Address - Street 1:2 PINECONE LN
Practice Address - Street 2:
Practice Address - City:SOUTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01772-1245
Practice Address - Country:US
Practice Address - Phone:617-620-8095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-96788163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant