IndividualActive
Laci Tang, IBCLC
NPI 1083214357 · Lactation Consultant (Non-RN) · Fairfax, VA
Provider details
- NPI number
- 1083214357
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- L-146175
Specialties & taxonomies
Other Service Providers
Practice location
5221 Concordia St
Fairfax, VA 22032-3409
Phone: (661) 202-7545
Approximate (ZIP-level) locationGet directions
Mailing address
5221 Concordia St
Fairfax, VA 22032-3409
Registry dates
- Enumerated
- 2020-10-27
- Last updated
- 2020-10-27
- Certified
- 2020-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.