Provider Demographics
NPI:1205567195
Name:THOMAS, ALBA LUCIA (MS, CLC)
Entity type:Individual
Prefix:
First Name:ALBA
Middle Name:LUCIA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MS, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 GALAXY CT
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-3837
Mailing Address - Country:US
Mailing Address - Phone:609-651-1184
Mailing Address - Fax:
Practice Address - Street 1:13 GALAXY CT
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-3837
Practice Address - Country:US
Practice Address - Phone:609-651-1184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No174N00000XOther Service ProvidersLactation Consultant, Non-RN