Provider Demographics
NPI:1902296916
Name:DANDRICH, LASHANDA (IBCLC)
Entity Type:Individual
Prefix:
First Name:LASHANDA
Middle Name:
Last Name:DANDRICH
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 7TH AVE APT 45
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10030-3542
Mailing Address - Country:US
Mailing Address - Phone:201-259-8833
Mailing Address - Fax:
Practice Address - Street 1:2460 7TH AVE APT 45
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10030-3542
Practice Address - Country:US
Practice Address - Phone:201-259-8833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-28
Last Update Date:2015-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYL-57077174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN