Provider Demographics
NPI:1013496322
Name:LOMMORI, ROBIN CARMELLA (IBCLC)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:CARMELLA
Last Name:LOMMORI
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:CARMELLA
Other - Last Name:RADFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4140 E PINTO LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-8981
Mailing Address - Country:US
Mailing Address - Phone:626-716-6324
Mailing Address - Fax:
Practice Address - Street 1:13951 N SCOTTSDALE RD STE 110
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-3454
Practice Address - Country:US
Practice Address - Phone:626-716-6324
Practice Address - Fax:602-613-1886
Is Sole Proprietor?:No
Enumeration Date:2018-08-08
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IBCLC174N00000X
176B00000X, 174400000X, 176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No174400000XOther Service ProvidersSpecialist