Provider Demographics
NPI:1104036573
Name:HULBURT, ANNALEE CARSWELL (IBCLC, RLC)
Entity Type:Individual
Prefix:
First Name:ANNALEE
Middle Name:CARSWELL
Last Name:HULBURT
Suffix:
Gender:F
Credentials:IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6035 HILLPOINTE ROW
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-0925
Mailing Address - Country:US
Mailing Address - Phone:858-740-7900
Mailing Address - Fax:858-551-2624
Practice Address - Street 1:6035 HILLPOINTE ROW
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-0925
Practice Address - Country:US
Practice Address - Phone:858-740-7900
Practice Address - Fax:858-551-2624
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist