Individual provider · NPI-1
Christina M Bozarth, BS, IBCLC
Lactation Consultant, Non-RN · Chicago, IL
NPI number1043069305
StatusActive
Last updated in NPPESMay 17, 2024
Details
- NPI
- 1043069305
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Christina M Bozarth
- Credential
- BS, IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2024
- Certification date
- May 17, 2024
- Last updated
- May 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | L-314093 | PA | Yes |
Practice location
1621 W Carroll AveChicago, IL 60612-2501
Phone 888-510-0059
Mailing address
53 Marion DrZelienople, PA 16063-9706
Phone 724-914-5600
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