Provider Demographics
NPI:1235427642
Name:TOWNSEND, DEBRA LEANN (IBCLC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:LEANN
Last Name:TOWNSEND
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 1:9909 PULPIT ROCK ROAD
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:CA
Mailing Address - Zip Code:95327-9319
Mailing Address - Country:US
Mailing Address - Phone:209-352-2750
Mailing Address - Fax:
Practice Address - Street 1:9909 PULPIT ROCK ROAD
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:CA
Practice Address - Zip Code:95327-9319
Practice Address - Country:US
Practice Address - Phone:209-352-2750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA197-14329174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN