Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1295944528 |
---|---|
Provider Name | Alison Hazelbaker |
First Address | Columbus, OH 43235-3413 |
Second Address | Columbus, OH 43235-3413 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 09/11/2015 |