Provider Demographics
NPI:1851713051
Name:REECE, LACHELLE (RN, BSN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:LACHELLE
Middle Name:
Last Name:REECE
Suffix:
Gender:F
Credentials:RN, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2927 SW 103RD ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-9081
Mailing Address - Country:US
Mailing Address - Phone:352-871-0413
Mailing Address - Fax:
Practice Address - Street 1:2927 SW 103RD ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-9081
Practice Address - Country:US
Practice Address - Phone:352-871-0413
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-08
Last Update Date:2014-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9226686163WL0100X
FLL-27516163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant