Provider Demographics
NPI:1952727398
Name:GIORDANO, AVERY RACHEL (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:AVERY
Middle Name:RACHEL
Last Name:GIORDANO
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 1:26 EDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-2826
Mailing Address - Country:US
Mailing Address - Phone:856-942-4305
Mailing Address - Fax:
Practice Address - Street 1:421 N HADDON AVE
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-1701
Practice Address - Country:US
Practice Address - Phone:856-942-4305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-10
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
10725821174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN