NPI 1083314447

Taylor Jean Petrunich, IBCLC

Practitioner Lactation Consultant (Non-RN) Edwardsville, IL

Practice location

Address: 20 Edwardsville Prof Park STE B, Edwardsville, IL 62025-3602
Phone: (618) 406-6372

Registered specialties

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X Licence L-309688 (IL)

Other Lactation Consultant, Non-RN providers in Illinois →

Registry record

NPI: 1083314447
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Mar 2023
Record last updated: 1 May 2026

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.