Provider Demographics
NPI:1720238629
Name:ARMSTRONG MICHAUD, LUCINA FE (CPM, IBCLC)
Entity Type:Individual
Prefix:
First Name:LUCINA
Middle Name:FE
Last Name:ARMSTRONG MICHAUD
Suffix:
Gender:F
Credentials:CPM, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86136 TERRITORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:VENETA
Mailing Address - State:OR
Mailing Address - Zip Code:97487-9450
Mailing Address - Country:US
Mailing Address - Phone:503-886-9171
Mailing Address - Fax:
Practice Address - Street 1:86136 TERRITORIAL HWY
Practice Address - Street 2:
Practice Address - City:VENETA
Practice Address - State:OR
Practice Address - Zip Code:97487-9450
Practice Address - Country:US
Practice Address - Phone:503-886-9171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-26
Last Update Date:2022-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10124944176B00000X
OR07110001176B00000X
ORLC-LC-10219187174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No176B00000XOther Service ProvidersMidwife