IndividualActive
Crystal Dishman, IBCLC
NPI 1679259964 · Lactation Consultant (Non-RN) · Muskogee, OK
Provider details
- NPI number
- 1679259964
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- L-311235 (OK)
Specialties & taxonomies
Other Service Providers
Practice location
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone: (918) 682-5501
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 908
Warner, OK 74469-0908
Registry dates
- Enumerated
- 2023-06-22
- Last updated
- 2023-06-22
- Certified
- 2023-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.