Provider Demographics
NPI:1932511615
Name:DUKAS-JANAKOS, SHEILA (MPH, IBCLC)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:DUKAS-JANAKOS
Suffix:
Gender:F
Credentials:MPH, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 HOWARD AVE
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3005
Mailing Address - Country:US
Mailing Address - Phone:650-579-2726
Mailing Address - Fax:
Practice Address - Street 1:720 HOWARD AVE
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-3005
Practice Address - Country:US
Practice Address - Phone:650-579-2726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X
196-13217174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No174H00000XOther Service ProvidersHealth Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
196-13217OtherIBLCE