Provider Demographics
NPI:1346628112
Name:HILL, CECILIA (IBCLC)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:IBCLC
Mailing Address - Street 1:309 LOUISE DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2428
Mailing Address - Country:US
Mailing Address - Phone:361-443-1753
Mailing Address - Fax:
Practice Address - Street 1:309 LOUISE DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2428
Practice Address - Country:US
Practice Address - Phone:361-443-1753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-13
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL-17398174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN