Provider Demographics
NPI:1982049961
Name:ROCA, CHRISTINE M (IBCLC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:ROCA
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 1:1919 E HIGHLAND ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18109-1709
Mailing Address - Country:US
Mailing Address - Phone:484-695-6191
Mailing Address - Fax:
Practice Address - Street 1:50 S 18TH ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3912
Practice Address - Country:US
Practice Address - Phone:484-602-5055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN