Mrs. Krystal Matsue Long
Lactation Consultant
2034 Lake Tahoe Blvd
South Lake Tahoe
, California 96150-6499
Mrs. Krystal Matsue Long
Lactation Consultant
2034 Lake Tahoe Blvd
South Lake Tahoe
, California 96150-6499
(530) 414-1348
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About
Features
Specialties
- Lactation Consultant
Languages spoken
- English
Location
First Address
- Mrs. Krystal Matsue Long
- 1196 Gold Dust Trl
- South Lake Tahoe, CA
- Zip : 96150-4520
- Phone : (530) 414-1348
Second Address
- Mrs. Krystal Matsue Long
- 2034 Lake Tahoe Blvd
- South Lake Tahoe, CA
- Zip : 96150-6499
- Phone : (530) 541-9355
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant |
National Provider Identifier
| NPI | 1083780290 |
|---|---|
| Provider Name | Mrs. Krystal Matsue Long |
| First Address | South Lake Tahoe, CA 96150-4520 |
| Second Address | South Lake Tahoe, CA 96150-6499 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2006 |
| Last Update Date | 09/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.