Individual
TARA LUCAS MATNEY
Active
Individual
TARA LUCAS MATNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC CD(DONA) MCPD
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
338820
NC
Other
Enumeration date
09/24/2024
Last updated
12/10/2025
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