Provider Demographics
NPI:1629719976
Name:LANDOSKY, LINSEY CHRISTINE (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:LINSEY
Middle Name:CHRISTINE
Last Name:LANDOSKY
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:LINSEY
Other - Middle Name:CHRISTINE
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3841 EDGAR AVE
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-3347
Mailing Address - Country:US
Mailing Address - Phone:850-449-0524
Mailing Address - Fax:
Practice Address - Street 1:3841 EDGAR AVE
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-3347
Practice Address - Country:US
Practice Address - Phone:850-449-0524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-01
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9306323163W00000X
FLL-151287163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163W00000XNursing Service ProvidersRegistered Nurse