IndividualActive
Domonique Chacon, IBCLC
NPI 1265320030 · Lactation Consultant (Non-RN) · Wheat Ridge, CO
Provider details
- NPI number
- 1265320030
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- L-318939
Specialties & taxonomies
Other Service Providers
Practice location
3200 Hillside Dr
Wheat Ridge, CO 80033-5607
Phone: (720) 314-7992
Approximate (ZIP-level) locationGet directions
Mailing address
3200 Hillside Dr
Wheat Ridge, CO 80033-5607
Registry dates
- Enumerated
- 2025-06-27
- Last updated
- 2025-06-27
- Certified
- 2025-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.