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Individual

MRS. AMY MARIE SIEGRIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IBCLC

Contact information

Practice address
487 DEVON PARK DR STE 214, WAYNE, PA 19087-1808
(484) 919-1027
Mailing address
256 STRAWBERRY LN, KING OF PRUSSIA, PA 19406-2217
(484) 919-1027

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
108-26498
PA
174N00000X
Lactation Consultant (Non-RN)
Primary
108-26498
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003140774
INDEPENDENCE BLUE CROSS
PA
01
9929902
AETNA
PA
Enumeration date
07/28/2011
Last updated
11/28/2025
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