| Doctor Name: | SERENA F MEYER |
| NPI Number: | 1306113881 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, IBCLC |
| License Number: | 95048954 |
| Business Practice Address: | 5425 Martis Ct El Sobrante, CA - 948033441 |
| Business Phone Number: | 5106124000 |
| Business Fax Number: | 5102136680 |
| Mailing Address: | 5425 Martis Court, EL SOBRANTE |
| State: | CA |
| Postal Code: | 94803 |
| Phone Number: | 5106124000 |
| Fax Number: | 5102750331 |
| NPI Enumeration Date: | 11/28/2011 |
| NPI Last Update Date: | 08/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | 95048954 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |