Provider Demographics
NPI:1144811084
Name:MYERS, LINDSAY ANN (IBCLC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ANN
Last Name:MYERS
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 1:2421 COUNTRY GRACE
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-8996
Mailing Address - Country:US
Mailing Address - Phone:830-463-9119
Mailing Address - Fax:
Practice Address - Street 1:2421 COUNTRY GRACE
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-8996
Practice Address - Country:US
Practice Address - Phone:830-463-9119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL-108138174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty