Individual
CRYSTAL MELANCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
537 E MAIN ST STE C, VILLE PLATTE, LA 70586-4611
(337) 459-5305
Mailing address
1725 JEANUS RD, VILLE PLATTE, LA 70586-8276
(337) 459-5305
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
201809
LA
174N00000X
Lactation Consultant (Non-RN)
Primary
L-309651
—
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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