Provider Demographics
NPI:1821643677
Name:LUNSFORD, NAJAH (FNP, IBCLC, CMT)
Entity Type:Individual
Prefix:
First Name:NAJAH
Middle Name:
Last Name:LUNSFORD
Suffix:
Gender:F
Credentials:FNP, IBCLC, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 COLBY ST STE 204
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2058
Mailing Address - Country:US
Mailing Address - Phone:510-909-7315
Mailing Address - Fax:
Practice Address - Street 1:3000 COLBY ST STE 204
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2058
Practice Address - Country:US
Practice Address - Phone:510-909-7315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-08
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA567361163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA13958OtherBOARD OF REGISTERED NURSING
CA567361OtherBOARD OF REGISTERED NURSING
CA10981908OtherINTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
CA67611OtherMASSAGE THERAPY COUNCIL