Provider Demographics
NPI:1952679664
Name:CORBIN, KAREN ELAINE (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ELAINE
Last Name:CORBIN
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 1:47935 CHINO RD
Mailing Address - Street 2:
Mailing Address - City:BANNING
Mailing Address - State:CA
Mailing Address - Zip Code:92220-2903
Mailing Address - Country:US
Mailing Address - Phone:909-645-9494
Mailing Address - Fax:951-849-8259
Practice Address - Street 1:47935 CHINO RD
Practice Address - Street 2:
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-2903
Practice Address - Country:US
Practice Address - Phone:909-645-9494
Practice Address - Fax:951-849-8259
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN