Provider Demographics
NPI:1205598752
Name:PREZIOSI, DANIELLE (IBCLC)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:PREZIOSI
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 1:522 POTTS ST
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-8406
Mailing Address - Country:US
Mailing Address - Phone:704-612-1986
Mailing Address - Fax:
Practice Address - Street 1:522 POTTS ST
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-8406
Practice Address - Country:US
Practice Address - Phone:704-612-1986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-12
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN