Individual
ALISON VANDERBURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
193 WHITNEY AVE, PORTLAND, ME 04102-2553
(207) 446-0276
Mailing address
193 WHITNEY AVE, PORTLAND, ME 04102-2553
(207) 446-0276
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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