Healthcare Provider Details

I. General information

NPI: 1467292771
Provider Name (Legal Business Name): SARAH LYNCH RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2024
Last Update Date: 05/27/2024
Certification Date: 05/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 WILDWOOD WAY
SALINAS CA
93908-8742
US

IV. Provider business mailing address

256 WILDWOOD WAY
SALINAS CA
93908-8742
US

V. Phone/Fax

Practice location:
  • Phone: 831-915-8352
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-314597
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: