Provider Demographics
NPI:1538566468
Name:MARCHESE, CLEOPATRA (BS, IBCLC, RLC)
Entity type:Individual
Prefix:
First Name:CLEOPATRA
Middle Name:
Last Name:MARCHESE
Suffix:
Gender:F
Credentials:BS, IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6924 BARBICAN DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-1332
Mailing Address - Country:US
Mailing Address - Phone:214-505-3967
Mailing Address - Fax:
Practice Address - Street 1:6924 BARBICAN DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-1332
Practice Address - Country:US
Practice Address - Phone:214-505-3967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL-60379174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN