Provider Demographics
NPI:1467628651
Name:ROBERTSON, BARBARA DAWN (IBCLC, MA)
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:DAWN
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:IBCLC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 BROOKS ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3198
Mailing Address - Country:US
Mailing Address - Phone:734-975-6534
Mailing Address - Fax:
Practice Address - Street 1:726 BROOKS ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3198
Practice Address - Country:US
Practice Address - Phone:734-975-6534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2012-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN