Provider Demographics
NPI:1558794834
Name:LEMKE, SANDRA (IBCLC)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:
Last Name:LEMKE
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:
Other - Last Name:LEMKE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:IBCLC
Mailing Address - Street 1:4002 ABERDEEN WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-2306
Mailing Address - Country:US
Mailing Address - Phone:713-927-3384
Mailing Address - Fax:
Practice Address - Street 1:4002 ABERDEEN WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-2306
Practice Address - Country:US
Practice Address - Phone:713-927-3384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10973294174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN