Provider Demographics
NPI:1841845005
Name:SAVENE, SHARON EILEEN STEVENS (IBCLC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:EILEEN STEVENS
Last Name:SAVENE
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:SAVENE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:IBCLC
Mailing Address - Street 1:708 N EUCALYPTUS AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90302-3630
Mailing Address - Country:US
Mailing Address - Phone:818-445-0950
Mailing Address - Fax:
Practice Address - Street 1:708 N EUCALYPTUS AVE APT 102
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90302-3630
Practice Address - Country:US
Practice Address - Phone:818-445-0950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-155465174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty