IndividualActive
Stephanie Leibundguth
NPI 1619611670 · Lactation Consultant (Registered Nurse) · Columbia, SC
Provider details
- NPI number
- 1619611670
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- L-305812 (GA)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Practice location
266 Ambling Cir
Columbia, SC 29210
Phone: (815) 325-5691
Approximate (ZIP-level) locationGet directions
Mailing address
256 Dublin Loop
Grovetown, GA 30813-0540
Registry dates
- Enumerated
- 2022-04-26
- Last updated
- 2022-04-26
- Certified
- 2022-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.