Provider Demographics
NPI:1942810353
Name:LEY, STEPHANY (BS, CNA, CLC, IBCLC)
Entity Type:Individual
Prefix:
First Name:STEPHANY
Middle Name:
Last Name:LEY
Suffix:
Gender:F
Credentials:BS, CNA, CLC, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 GOLF VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-2593
Mailing Address - Country:US
Mailing Address - Phone:321-274-6306
Mailing Address - Fax:
Practice Address - Street 1:1037 GOLF VALLEY DR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32712-2593
Practice Address - Country:US
Practice Address - Phone:321-274-6306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-01
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174N00000X
FL317046174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN