Provider Demographics
NPI:1801006937
Name:ISENSTADT, LORI J (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:J
Last Name:ISENSTADT
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 1:9171 W HARMONY LN
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-5349
Mailing Address - Country:US
Mailing Address - Phone:623-362-2511
Mailing Address - Fax:
Practice Address - Street 1:9171 W HARMONY LN
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-5349
Practice Address - Country:US
Practice Address - Phone:623-362-2511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No174400000XOther Service ProvidersSpecialist