Individual
DOMONIQUE LORNA CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3200 HILLSIDE DR, WHEAT RIDGE, CO 80033-5607
(720) 314-7992
Mailing address
3200 HILLSIDE DR, WHEAT RIDGE, CO 80033-5607
(720) 314-7992
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-318939
—
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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