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

Marisa J. Smith, IBCLC

Individual provider Specialist · NPI 1184833451

Marisa J. Smith, IBCLC is a Specialist in Burke, Virginia. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

9717 Walthorne Ct
Burke, VA 22015-4044
Phone: (703) 323-7301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1184833451
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC
Sole proprietorYes
NPI enumeratedMay 22, 2007
Last updated in NPPESMay 8, 2013
Mailing address9717 Walthorne Ct, Burke, VA 22015-4044

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