Individual
GINA MARIE PENKA CORRIVEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, IBCLC
Contact information
Practice address
6 PINEWOODS RD, LISBON, ME 04250-6247
(720) 319-0135
(720) 319-0135
Mailing address
6 PINEWOODS RD, LISBON, ME 04250-6247
(720) 319-0135
(720) 319-0135
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
176B00000X
Midwife
—
—
374J00000X
Doula
—
—
Other
Enumeration date
12/10/2012
Last updated
02/09/2026
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