NPI 1801607924

Shantel Melissa-Soto Sam, IBCLCCLC

Practitioner Lactation Consultant (Non-RN) Norfolk, VA

Practice location

Address: 830 Goff St, Norfolk, VA 23504-2703
Phone: (757) 314-3138
Mailing address: 232 Martha Lee Dr, Hampton, VA 23666-3789

Registered specialties (2)

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X Licence L-319547

Other Lactation Consultant, Non-RN providers in Virginia →

Lactation Consultant (Non-RN)

Other Service Providers Taxonomy 174N00000X Licence 350020

Registry record

NPI: 1801607924
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jan 2025
Record last updated: 7 Jul 2025

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.