Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diana Stephanie Clark, IBCLC

Individual provider Lactation Consultant (Non-RN) · NPI 1003630666

Diana Stephanie Clark, IBCLC is a Lactation Consultant (Non-RN) in Azusa, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

28 Mountain Laurel Way
Azusa, CA 91702-6264
Phone: (626) 222-4614
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1621 W Carroll Ave, Chicago, IL 60612-2501 — (888) 510-0059

Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X · Licence 11137880 (CA)

Record details

NPI number1003630666
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC
Sole proprietorNo
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024

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