IndividualActive
Mckenzie Cornilsen, CLC, SBD
NPI 1801653605 · Lactation Consultant (Non-RN) · Davenport, IA
Provider details
- NPI number
- 1801653605
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- CLC, SBD
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Doula374J00000X
Nursing Service Related Providers
Practice location
2010 E 38th St Ste 201b
Davenport, IA 52807-1179
Phone: (184) 656-2200
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 623
Buffalo, IA 52728-0623
Registry dates
- Enumerated
- 2024-02-28
- Last updated
- 2024-02-28
- Certified
- 2024-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.