| Doctor Name: | LISA CHASSAGNE |
| NPI Number: | 1225380769 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, IBCLC |
| License Number: | R099592 |
| Business Practice Address: | 1304 Marquis Ct Fallston, MD - 210472265 |
| Business Phone Number: | 4109891014 |
| Business Fax Number: | |
| Mailing Address: | 1304 Marquis Ct, FALLSTON |
| State: | MD |
| Postal Code: | 210472265 |
| Phone Number: | 4109891014 |
| Fax Number: | |
| NPI Enumeration Date: | 10/08/2012 |
| NPI Last Update Date: | 08/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | R099592 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |