Provider Demographics
NPI:1558919654
Name:ROBINSON, LYDIA F (RN, CD(DONA) IBCLC)
Entity Type:Individual
Prefix:
First Name:LYDIA
Middle Name:F
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN, CD(DONA) IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3416 N 128TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66109-4302
Mailing Address - Country:US
Mailing Address - Phone:816-520-2655
Mailing Address - Fax:
Practice Address - Street 1:3416 N 128TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66109-4302
Practice Address - Country:US
Practice Address - Phone:913-543-1077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-01
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS134947163WM0102X, 163WX0003X
176B00000X, 175M00000X, 374J00000X
KSL161708163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient
No176B00000XOther Service ProvidersMidwife
No175M00000XOther Service ProvidersMidwife, Lay
No374J00000XNursing Service Related ProvidersDoula