Provider Demographics
NPI:1982355756
Name:ISKANDER, DONNA BARNETT (RN, IBCLC)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:BARNETT
Last Name:ISKANDER
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:DONNA
Other - Middle Name:DEANN
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, IBCLC
Mailing Address - Street 1:107 S HELBERTA AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3461
Mailing Address - Country:US
Mailing Address - Phone:213-361-3126
Mailing Address - Fax:
Practice Address - Street 1:107 S HELBERTA AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3461
Practice Address - Country:US
Practice Address - Phone:213-361-3126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-306202163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant