Provider Demographics
NPI:1033784277
Name:JANAKOS, MARGARET KLER (CLE, IBCLC, RLC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:KLER
Last Name:JANAKOS
Suffix:
Gender:F
Credentials:CLE, IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 HORIZON WAY
Mailing Address - Street 2:
Mailing Address - City:PACIFICA
Mailing Address - State:CA
Mailing Address - Zip Code:94044-1708
Mailing Address - Country:US
Mailing Address - Phone:650-579-2726
Mailing Address - Fax:
Practice Address - Street 1:1432 BURLINGAME AVE
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-4111
Practice Address - Country:US
Practice Address - Phone:650-579-2726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-115369174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN