NPI 1538646963

Shannon M Couillard, CLC

Practitioner Lactation Consultant (Non-RN) Orlando, FL

Practice location

Address: 4397 Wyndcliff Cir, Orlando, FL 32817-3310
Phone: (407) 243-8571
Mailing address: 10151 University Blvd # 241, Orlando, FL 32817-1904

Registered specialties

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X Licence 259524 (DE)

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Registry record

NPI: 1538646963
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2018
Record last updated: 27 Jul 2018

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.