ANGELA LEN LULL IBCLC, LMT,CST,DOULA
NPI 1053997254
Lactation Consultant, Non-RN in Bend, OR

Q: What is Angela Lull's NPI number?

The NPI number for Angela Lull is 1053997254. It was assigned to this individual provider in the NPPES registry on March 19, 2021.

Q: What is Angela Lull's specialty?

The primary specialty registered for this NPI is Lactation Consultant, Non-RN with taxonomy code 174N00000X.

Q: When was this NPI record last updated?

The NPPES record for Angela Lull was last updated on May 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 19, 2021

2200 NE PROFESSIONAL CT, BEND, OR 97701(541) 389-6313(541) 389-8760 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2022, Apr 27, 2021, Mar 19, 2021 (3 updates tracked since 2021).

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About Angela Len Lull Ibclc, Lmt,cst,doula NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA LEN LULL IBCLC, LMT,CST,DOULA (NPI 1053997254) is an individual lactation consultant, non-rn provider in Bend, Oregon, licensed in Oregon (LC-LC-10214114) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1053997254

Entity TypeIndividualFemale

Primary Taxonomy174N00000X

Provider Legal NameANGELA LEN LULLCredential: IBCLC, LMT,CST,DOULA

Location Address2200 NE PROFESSIONAL CTBend, OR 97701-6063

Mailing Address2200 Ne Professional CtBend, OR 97701-6063 · (541) 389-6313 · Fax (541) 389-8760

Phone(541) 389-6313

Fax(541) 389-8760

Sole ProprietorYes

Enumeration DateMarch 19, 2021

Last NPPES UpdateMay 17, 20223 updates tracked since enumeration

NPPES CertifiedMay 14, 2022

✔ NPI 1053997254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLactation Consultant, Non-RNOther Service Providers

Taxonomy Code174N00000X

License✔ Licensed in OR · LC-LC-10214114

Definition

An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization.

Also ListedMassage TherapistTaxonomy 225700000X · License 26277 (OR)

2200 NE PROFESSIONAL CT, Bend, OR 97701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER G. LACHMAN M.D.

Pediatrics