Healthcare Provider Details

I. General information

NPI: 1851092530
Provider Name (Legal Business Name): LINDSAY SPAINHOUR BAKER RN, BSN, MSCIH,IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2023
Last Update Date: 03/10/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 WHIPPOORWILL RD
CHARLOTTESVILLE VA
22901-8811
US

IV. Provider business mailing address

2150 WHIPPOORWILL RD
CHARLOTTESVILLE VA
22901-8811
US

V. Phone/Fax

Practice location:
  • Phone: 910-547-1896
  • Fax:
Mailing address:
  • Phone: 910-547-1896
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number0001318843
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: