Healthcare Provider Details

I. General information

NPI: 1316853872
Provider Name (Legal Business Name): KRISTEN D TOWNER BS, DN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 ORANGETHORPE AVE APT 905
LA PALMA CA
90623-1247
US

IV. Provider business mailing address

5600 ORANGETHORPE AVE APT 905
LA PALMA CA
90623-1247
US

V. Phone/Fax

Practice location:
  • Phone: 310-383-5250
  • Fax:
Mailing address:
  • Phone: 310-383-5250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-303214
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: