Provider Demographics
NPI:1336913474
Name:GERNAND, CLAUDIA ESTHER (IBCLC)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:ESTHER
Last Name:GERNAND
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:ESHER
Other - Last Name:ORTIZ PETRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:112 GARDENIA ST
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5816
Mailing Address - Country:US
Mailing Address - Phone:979-997-8822
Mailing Address - Fax:
Practice Address - Street 1:112 GARDENIA ST
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5816
Practice Address - Country:US
Practice Address - Phone:979-997-8822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL-120979174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty