Provider Demographics
NPI:1790107233
Name:SMITH-FLEISCHMAN, TIFFANY (IBCLC, RLC)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:
Last Name:SMITH-FLEISCHMAN
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 1:2526 22ND CT NE
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98029-3687
Mailing Address - Country:US
Mailing Address - Phone:425-605-0837
Mailing Address - Fax:
Practice Address - Street 1:2526 22ND CT NE
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98029-3687
Practice Address - Country:US
Practice Address - Phone:425-605-0837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-17
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN