Provider Demographics
NPI:1710392758
Name:ARGUELLES RUTHERFORD, LAUREN (IBCLC, RLC)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:ARGUELLES RUTHERFORD
Suffix:
Gender:F
Credentials:IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:824 E SANDRA AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-5407
Mailing Address - Country:US
Mailing Address - Phone:626-319-4510
Mailing Address - Fax:
Practice Address - Street 1:824 E SANDRA AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-5407
Practice Address - Country:US
Practice Address - Phone:626-319-4510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-28
Last Update Date:2014-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA10521976174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN