MS. DOMINIQUE S GALLO BS, IBCLC, RLC
NPI 1902202872
Lactation Consultant, Non-RN in Roanoke, VA

Active since November 05, 2014
3537 BERRYHILL DR, ROANOKE, VA 24018(757) 598-2507(540) 444-2309 Get Directions Write a Review

NPPES record last updated: June 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 29, 2020, Feb 12, 2019 (2 updates tracked since 2019).

About Ms. Dominique S Gallo Bs, Ibclc, Rlc NPPES

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

MS. DOMINIQUE S GALLO BS, IBCLC, RLC (NPI 1902202872) is an individual lactation consultant, non-rn provider in Roanoke, Virginia, licensed in Virginia (L-6071) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1902202872
Entity TypeIndividualFemale
Primary Taxonomy174N00000X
Provider Legal NameMS. DOMINIQUE S GALLOCredential: BS, IBCLC, RLC
Location Address3537 BERRYHILL DRRoanoke, VA 24018-4403
Mailing Address3537 Berryhill DrRoanoke, VA 24018-4403 · (757) 598-2507 · Fax (540) 444-2309
Fax(540) 444-2309
Sole ProprietorYes
Enumeration DateNovember 5, 2014
Last NPPES UpdateJune 29, 20202 updates tracked since enumeration
NPPES CertifiedJune 29, 2020
NPI 1902202872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLactation Consultant, Non-RNOther Service Providers
Taxonomy Code174N00000X
License Licensed in VA · L-6071
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.

3537 BERRYHILL DR, Roanoke, VA 24018

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902202872, enumerated as an "individual" on November 05, 2014.

The provider is located at 3537 BERRYHILL DR ROANOKE, VA 24018 and the phone number is (757) 598-2507.

Lactation Consultant, Non-RN with taxonomy code 174N00000X.