Provider Demographics
NPI:1366269904
Name:RUNDEL, SIBYLLE BARBARA (IBCLC)
Entity type:Individual
Prefix:MRS
First Name:SIBYLLE
Middle Name:BARBARA
Last Name:RUNDEL
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 1:330 E MORNING SUN CT
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-6946
Mailing Address - Country:US
Mailing Address - Phone:520-628-4202
Mailing Address - Fax:520-797-1830
Practice Address - Street 1:330 E MORNING SUN CT
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-6946
Practice Address - Country:US
Practice Address - Phone:520-628-4202
Practice Address - Fax:520-797-1830
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZL-31916174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN