Individual
MEGHAN SEPERACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
8325 UNIVERSITY AVE, LA MESA, CA 91942-9322
(619) 724-4117
Mailing address
7707 CAMINITO LEON UNIT 202, CARLSBAD, CA 92009-8677
(916) 844-5838
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-305245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-305245
IBCLC
CA
Enumeration date
12/16/2021
Last updated
12/16/2021
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