Provider Demographics
NPI:1245666114
Name:ARAKI, LISA (IBCLC)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:ARAKI
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 1:23300 CINEMA DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1775
Mailing Address - Country:US
Mailing Address - Phone:323-302-2151
Mailing Address - Fax:
Practice Address - Street 1:23300 CINEMA DR
Practice Address - Street 2:SUITE 102
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1775
Practice Address - Country:US
Practice Address - Phone:323-302-2151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108-56055174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN