Individual
LORIE PATRICE SHIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
16661 DOLORES LN APT B, HUNTINGTON BEACH, CA 92649-3341
(714) 287-6008
Mailing address
16661 DOLORES LN APT B, HUNTINGTON BEACH, CA 92649-3341
(714) 287-6008
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
C-33720
CA
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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