Provider Demographics
NPI:1528394533
Name:CONROY, KRISTI RUTH (IBCLC, RLC)
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:RUTH
Last Name:CONROY
Suffix:
Gender:F
Credentials:IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10927 W 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-7312
Mailing Address - Country:US
Mailing Address - Phone:720-335-1796
Mailing Address - Fax:
Practice Address - Street 1:10927 W 31ST AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-7312
Practice Address - Country:US
Practice Address - Phone:720-335-1796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-26
Last Update Date:2012-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN