Provider Demographics
NPI:1164898623
Name:STARICKA, CHRISTINE (IBCLC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:STARICKA
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 NOAH AVE
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-1944
Mailing Address - Country:US
Mailing Address - Phone:661-747-5195
Mailing Address - Fax:
Practice Address - Street 1:7201 NOAH AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-1944
Practice Address - Country:US
Practice Address - Phone:661-747-5195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-35064174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN