Provider Demographics
NPI:1881943264
Name:OBERHOLZER, JULIE (MPH, IBCLC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:OBERHOLZER
Suffix:
Gender:F
Credentials:MPH, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4551 STRUTFIELD LANE
Mailing Address - Street 2:APT 4113
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311
Mailing Address - Country:US
Mailing Address - Phone:703-835-1498
Mailing Address - Fax:
Practice Address - Street 1:4551 STRUTFIELD LN
Practice Address - Street 2:APARTMENT 4113
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-4967
Practice Address - Country:US
Practice Address - Phone:703-835-1498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN