IndividualActive
Candyse Matassa, IBCLC
NPI 1801495296 · Lactation Consultant (Non-RN) · Baton Rouge, LA
Provider details
- NPI number
- 1801495296
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- No
- License
- L-108612 (LA)
Specialties & taxonomies
Other Service Providers
Practice location
5848 Menlo Dr
Baton Rouge, LA 70808-5047
Phone: (225) 341-2411
Approximate (ZIP-level) locationGet directions
Mailing address
18201 Pine Ridge Dr
Prairieville, LA 70769-3473
Registry dates
- Enumerated
- 2020-10-18
- Last updated
- 2020-10-18
- Certified
- 2020-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.