Individual
HEATHER N BORSUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
23591 EL TORO RD, STE 176, LAKE FOREST, CA 92630-4774
(949) 370-9950
Mailing address
23591 EL TORO RD, STE 176, LAKE FOREST, CA 92630-4774
(949) 370-9950
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11147698
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11147698
IBCLE
CA
Enumeration date
03/01/2012
Last updated
03/01/2012
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