Individual
TIFFANY LEBANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC
Contact information
Practice address
6702 WHITEGATE RD, CLARKSVILLE, MD 21029-1620
(240) 440-1924
Mailing address
6702 WHITEGATE RD, CLARKSVILLE, MD 21029-1620
(240) 440-1924
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-316884
MD
163WM0102X
Maternal Newborn Registered Nurse
R212848
MD
Other
Enumeration date
01/13/2025
Last updated
11/24/2025
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