IndividualActive
Rebecca Gravenor, IBCLC
NPI 1356976906 · Lactation Consultant (Non-RN) · Mardela Springs, MD
Provider details
- NPI number
- 1356976906
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- No
- License
- L-134914 (MD)
Practice location
8077 Baptist Church Rd
Mardela Springs, MD 21837-2421
Phone: (443) 523-6373
Fax: (443) 354-1853
Mailing address
Po Box 316
Mardela Springs, MD 21837-0316
Registry dates
- Enumerated
- 2020-03-04
- Last updated
- 2020-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.