Provider Demographics
NPI:1902683873
Name:CASTILLEJA, LINDSEY (IBCLC)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:CASTILLEJA
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 1:3463 IRON CYN
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-5501
Mailing Address - Country:US
Mailing Address - Phone:210-288-2996
Mailing Address - Fax:
Practice Address - Street 1:3463 IRON CYN
Practice Address - Street 2:
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-5501
Practice Address - Country:US
Practice Address - Phone:210-288-2996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL-134969174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN