Provider Demographics
NPI:1639455702
Name:ROBBINS, VIRGINIA KATHERINE (IBCLC)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:KATHERINE
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3517 CANVAS BACK DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-8595
Mailing Address - Country:US
Mailing Address - Phone:931-206-9659
Mailing Address - Fax:
Practice Address - Street 1:3517 CANVAS BACK DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-8595
Practice Address - Country:US
Practice Address - Phone:931-206-9659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11115114174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN