Individual
RACHEL IVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1028 W AVENUE L12 STE 103, LANCASTER, CA 93534-7089
(661) 917-7909
Mailing address
42911 NORMANDY LN, LANCASTER, CA 93536-4838
(661) 917-7900
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-302047
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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