IndividualActive
Angela Lull, IBCLC, LMT,CST,DOULA
NPI 1053997254 · Lactation Consultant (Non-RN) · Bend, OR
Provider details
- NPI number
- 1053997254
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC, LMT,CST,DOULA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 26277 (OR)
Specialties & taxonomies
Other Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2200 Ne Professional Ct
Bend, OR 97701-6063
Phone: (541) 389-6313
Fax: (541) 389-8760
Approximate (ZIP-level) locationGet directions
Mailing address
2200 Ne Professional Ct
Bend, OR 97701-6063
Registry dates
- Enumerated
- 2021-03-19
- Last updated
- 2022-05-17
- Certified
- 2022-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.