LACIE VIDOVICH RN IBCLC NPI 1295486694

NPI Information

  • NPI: 1295486694
  • Provider Name: LACIE VIDOVICH, RN, IBCLC
  • Classification: Registered Nurse - 163WL0100X
  • Specialization: Lactation Consultant
  • Entity Type: Individual
  • Address: 15770 MISS ELLIE LN
    LAKESIDE, CA
    ZIP 92040
  • Phone: (619) 592-6680

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NPI Details

Lacie Vidovich, RN, IBCLC is a lactation consultant registered nurse in Lakeside, CA. Lacie Vidovich, RN, IBCLC NPI is 1295486694. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

15770 MISS ELLIE LN
LAKESIDE, CA
ZIP 92040-600
Phone: (619) 592-6680

The enumeration date for this NPI number is 1/17/2022 and was last updated on 1/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WL0100XRegistered NurseLactation Consultant806895CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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