Provider Demographics
NPI:1194076166
Name:ALBRIGHT, VICTORIA (IBCLC)
Entity type:Individual
Prefix:MS
First Name:VICTORIA
Middle Name:
Last Name:ALBRIGHT
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 1:15835 WOODGATE RD S
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-4542
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:15835 WOODGATE RD S
Practice Address - Street 2:OPTIONAL
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-4542
Practice Address - Country:US
Practice Address - Phone:952-388-9887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-30
Last Update Date:2012-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
11199146174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN