NPI 1053997254

Angela Len Lull, IBCLCLMTCSTDOULA

Practitioner Lactation Consultant (Non-RN) Bend, OR

Practice location

Address: 2200 NE Professional CT, Bend, OR 97701-6063
Phone: (541) 389-6313
Fax: (541) 389-8760

Registered specialties (2)

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X Licence LC-LC-10214114 (OR)

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Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 26277 (OR)

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Registry record

NPI: 1053997254
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Mar 2021
Record last updated: 17 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.