Individual
LISA BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
4478 PITCH PINE CT, CONCORD, CA 94521-4406
(925) 323-2627
Mailing address
4478 PITCH PINE CT, CONCORD, CA 94521-4406
(925) 323-2627
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-16437
IBCLC
CA
Enumeration date
11/06/2016
Last updated
11/06/2016
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