Provider Demographics
NPI:1568670560
Name:BLUMBERG, WENDY L (RLC,IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:L
Last Name:BLUMBERG
Suffix:
Gender:F
Credentials:RLC,IBCLC
Other - Prefix:MRS
Other - First Name:WENDY
Other - Middle Name:L
Other - Last Name:BLUMBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RLC,IBCLC
Mailing Address - Street 1:3632 PINEHURST CT
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-1555
Mailing Address - Country:US
Mailing Address - Phone:972-985-8828
Mailing Address - Fax:
Practice Address - Street 1:3632 PINEHURST CT
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-1555
Practice Address - Country:US
Practice Address - Phone:972-985-8828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist