TLN Professional Services II, PC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

Legal business name

TLN PROFESSIONAL SERVICES II, PC

Practice address

289 S Culver St
Lawrenceville, GA 30046-4805

Phone

(888) 510-0059

NPI assigned

Jul 16, 2025

Organization subpart

Yes

Parent organization

TLN PROFESSIONAL SERVICES II, PCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Insiyah Gomberawalla, MD

Title

President & Secretary

Phone

(708) 872-7653

Specialties & licenses 2

Addresses

Tax ID family

TLN Professional Services II PC5 organizations share this tax ID, including this one

Part of

TLN Professional Services II PC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• TLN Professional Services II, PC

  • Lactation Consultant (Non-RN)
  • Indianapolis, IN
  • NPI 1235021148
  NPD tax ID
• TLN Professional Services II, PC

  • Lactation Consultant (Non-RN)
  • Salt Lake City, UT
  • NPI 1255223269
  NPD tax ID
• TLN Professional Services II, PC

  • Lactation Consultant (Non-RN)
  • Saint Louis, MO
  • NPI 1740172667
  NPD tax ID
• TLN Professional Services II, PC

  • Lactation Consultant (Non-RN)
  • Madison, WI
  • NPI 1982596805
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1710879622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 W CARROLL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122501",
            "telephone_number": "888-510-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 S CULVER ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464805",
            "telephone_number": "888-510-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLN PROFESSIONAL SERVICES II, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TLN PROFESSIONAL SERVICES II, PC",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "GOMBERAWALLA",
        "authorized_official_first_name": "INSIYAH",
        "authorized_official_title_or_position": "PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "708-872-7653",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lactation Consultant (Non-RN) in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Lactation Consultant (Non-RN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.