Organization
MELANIE HENSTROM LACTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE HENSTROM IBCLC (LACTATION CONSULTANT)
(971) 235-8773
Entity
Organization
Contact information
Practice address
2399 S ORCHARD ST STE 104, BOISE, ID 83705-3794
(971) 235-8773
Mailing address
6689 E PLAYWRIGHT DR, BOISE, ID 83716-5831
(971) 235-8773
(208) 779-4921
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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