Provider Demographics
NPI:1801768791
Name:CALABRESE, IRINA (LC)
Entity type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:CALABRESE
Suffix:
Gender:F
Credentials:LC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17955 LAKE AZURE WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33496-1049
Mailing Address - Country:US
Mailing Address - Phone:917-342-5559
Mailing Address - Fax:
Practice Address - Street 1:17955 LAKE AZURE WAY
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33496-1049
Practice Address - Country:US
Practice Address - Phone:917-342-5559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-19
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN