National Provider Identifier
Gina Granto Penque, IBCLC, RLC
Gina Granto Penque, IBCLC, RLC is listed in the NPPES registry with a primary specialty of Lactation Consultant (Non-RN) in Niagara Falls, NY and a listed phone number of (716) 998-3472.
Profile Overview
- NPI
- 1154050417
- Provider Type
- Individual
- Primary Specialty
- Lactation Consultant (Non-RN)
- Enumeration Date
- June 09, 2022
- Last Updated
- June 09, 2022
Practice Location
- 618 1/2 Chestnut Ave
- Niagara Falls, NY 14305-1802
Phone: (716) 998-3472
Specialties
- Lactation Consultant (Non-RN) (174N00000X)
Full Record
- NPI
- 1154050417
- Entity Type
- Individual
- Last Name
- Granto Penque
- First Name
- Gina
- Name Prefix
- Mrs.
- Credential
- IBCLC, RLC
- Provider Other Last Name
- Penque
- Provider Other First Name
- Gina
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 618 1/2 Chestnut Ave
- Mailing City
- Niagara Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14305-1802
- Mailing Country
- US
- Mailing Phone
- (716) 285-1279
- Practice Street Address
- 618 1/2 Chestnut Ave
- Practice City
- Niagara Falls
- Practice State
- NY
- Practice ZIP Code
- 14305-1802
- Practice Country
- US
- Practice Phone
- (716) 998-3472
- Enumeration Date
- June 09, 2022
- Last Updated
- June 09, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 09, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Lactation Consultant (Non-RN) (174N00000X)