Provider Demographics
NPI:1073722997
Name:LINDQUIST, JO ANNE (RN, IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:JO ANNE
Middle Name:
Last Name:LINDQUIST
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4789 PAULA CT
Mailing Address - Street 2:
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-7247
Mailing Address - Country:US
Mailing Address - Phone:925-443-0843
Mailing Address - Fax:
Practice Address - Street 1:4789 PAULA CT
Practice Address - Street 2:
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-7247
Practice Address - Country:US
Practice Address - Phone:925-443-0843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA217482163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant