Provider Demographics
NPI:1851989826
Name:HEDLUND, CLARE (IBCLC)
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:
Last Name:HEDLUND
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 1:275 MIMOSA DR
Mailing Address - Street 2:
Mailing Address - City:SNEADS FERRY
Mailing Address - State:NC
Mailing Address - Zip Code:28460-7611
Mailing Address - Country:US
Mailing Address - Phone:910-333-6289
Mailing Address - Fax:
Practice Address - Street 1:275 MIMOSA DR
Practice Address - Street 2:
Practice Address - City:SNEADS FERRY
Practice Address - State:NC
Practice Address - Zip Code:28460-7611
Practice Address - Country:US
Practice Address - Phone:910-333-6289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN