Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-302154 |
NPI | 1063087690 |
---|---|
Provider Name | Alexis R Rasmussen |
First Address | Allentown, NJ 08501-1411 |
Second Address | Allentown, NJ 08501-1411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2021 |
Last Update Date | 25/05/2021 |