Healthcare Provider Details

I. General information

NPI: 1558919654
Provider Name (Legal Business Name): LYDIA F ROBINSON RN, CD(DONA) IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2019
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3416 N 128TH ST
KANSAS CITY KS
66109-4302
US

IV. Provider business mailing address

3416 N 128TH ST
KANSAS CITY KS
66109-4302
US

V. Phone/Fax

Practice location:
  • Phone: 913-543-1077
  • Fax:
Mailing address:
  • Phone: 816-520-2655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number134947
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number134947
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number24050458
License Number StateKS
# 5
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL161708
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: