Individual
ANJALI LARA SARDESHMUKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.
Contact information
Practice address
2939 SUMMIT ST STE 303, OAKLAND, CA 94609-3404
(510) 740-8490
Mailing address
2939 SUMMIT ST STE 303, OAKLAND, CA 94609-3404
(510) 740-8490
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-315717
—
176B00000X
Midwife
Primary
513
CA
176B00000X
Midwife
MW 228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001285000
—
FL
Enumeration date
08/03/2009
Last updated
08/08/2024
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