Provider Demographics
NPI:1396523304
Name:RUFF, ALICE JEAN (IBCLC)
Entity type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:JEAN
Last Name:RUFF
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:ALICE
Other - Middle Name:JEAN
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:206 E HARVEST DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-5610
Mailing Address - Country:US
Mailing Address - Phone:302-561-4800
Mailing Address - Fax:
Practice Address - Street 1:1600 ROCKLAND RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3607
Practice Address - Country:US
Practice Address - Phone:302-651-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL-303856174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN