Provider Demographics
NPI:1235477316
Name:WILLIAMS, LINSE NOEL (BA IBCLC)
Entity Type:Individual
Prefix:
First Name:LINSE
Middle Name:NOEL
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:BA IBCLC
Other - Prefix:
Other - First Name:LINSEY
Other - Middle Name:NOEL
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BA IBCLC
Mailing Address - Street 1:4719 COLONY DR
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-5203
Mailing Address - Country:US
Mailing Address - Phone:805-844-5656
Mailing Address - Fax:
Practice Address - Street 1:4719 COLONY DR
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-5203
Practice Address - Country:US
Practice Address - Phone:805-844-5656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-23
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11181708174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN