Tln Professional Services Ii, PC

NPI #1710879622 in Lawrenceville, Georgia

Provider Information

NPI Number
1710879622
Entity Type
Organization
Organization Name
Tln Professional Services Ii, PC
Subpart
Yes (part of a larger organization)
Parent Organization
TLN PROFESSIONAL SERVICES II, PC
Primary Specialty
Lactation Consultant, Non-RN
Enumeration Date
Jul 16, 2025
Last Updated
Oct 1, 2025

Practice Location

Address
289 S CULVER ST
State
Georgia
ZIP Code
30046-4805
Phone
(888) 510-0059

Authorized Official

Name
INSIYAH GOMBERAWALLA, MD
Title
PRESIDENT & SECRETARY
Phone
(708) 872-7653

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Lactation ConsultantLactation Consultant
Lactation Consultant, Non-RN

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