Provider Demographics
NPI:1013554732
Name:TALMOR, KEREN (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:KEREN
Middle Name:
Last Name:TALMOR
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 1:67 HARRINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-1105
Mailing Address - Country:US
Mailing Address - Phone:551-502-8212
Mailing Address - Fax:
Practice Address - Street 1:67 HARRINGTON AVE
Practice Address - Street 2:
Practice Address - City:CLOSTER
Practice Address - State:NJ
Practice Address - Zip Code:07624-1105
Practice Address - Country:US
Practice Address - Phone:551-502-8212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-01
Last Update Date:2019-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZL32224174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN