Provider Demographics
NPI:1770758773
Name:ARNOLD, CHRISTINA LEE (MOTR/L, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:LEE
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MOTR/L, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2841 N WEST PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-1825
Mailing Address - Country:US
Mailing Address - Phone:602-540-9700
Mailing Address - Fax:
Practice Address - Street 1:2841 N WEST PLAZA DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-1825
Practice Address - Country:US
Practice Address - Phone:602-540-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ225X00000X
174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAHCCC5Medicaid