Provider Demographics
NPI:1376166041
Name:CORDELL, LINDSY (IBCLC)
Entity Type:Individual
Prefix:
First Name:LINDSY
Middle Name:
Last Name:CORDELL
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:MRS
Other - First Name:LINDSY
Other - Middle Name:KIRKLAND
Other - Last Name:CORDELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, IBCLC
Mailing Address - Street 1:3055 RIVER LANDING DR
Mailing Address - Street 2:
Mailing Address - City:ADDIS
Mailing Address - State:LA
Mailing Address - Zip Code:70710-2167
Mailing Address - Country:US
Mailing Address - Phone:225-921-8425
Mailing Address - Fax:
Practice Address - Street 1:5848 MENLO DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-5047
Practice Address - Country:US
Practice Address - Phone:225-341-2411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-28
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL-150776163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant