Provider Demographics
NPI:1134988975
Name:CREE, LESLIE (BA IBCLC)
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:
Last Name:CREE
Suffix:
Gender:F
Credentials:BA IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6339 STEPHENS XING
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2347
Mailing Address - Country:US
Mailing Address - Phone:717-514-7850
Mailing Address - Fax:
Practice Address - Street 1:6339 STEPHENS XING
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2347
Practice Address - Country:US
Practice Address - Phone:717-514-7850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAL-12378174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN