Provider Demographics
NPI:1508115247
Name:ALBERT, DEBORAH GAIL (PHD, BSN, IBCLC)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:GAIL
Last Name:ALBERT
Suffix:
Gender:F
Credentials:PHD, BSN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 SOARING HAWK LN
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95833-3790
Mailing Address - Country:US
Mailing Address - Phone:916-304-5228
Mailing Address - Fax:
Practice Address - Street 1:290 SOARING HAWK LN
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95833-3790
Practice Address - Country:US
Practice Address - Phone:916-304-5228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-07
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA840286163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant