Provider Demographics
NPI:1578901583
Name:LANGDON, L CLAIRE (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:L CLAIRE
Middle Name:
Last Name:LANGDON
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15754 CHERRY BLOSSOM LN
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-3545
Mailing Address - Country:US
Mailing Address - Phone:408-358-6764
Mailing Address - Fax:
Practice Address - Street 1:15754 CHERRY BLOSSOM LN
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-3545
Practice Address - Country:US
Practice Address - Phone:408-358-6764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA469263163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant