Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-150968 |
NPI | 1144817511 |
---|---|
Provider Name | Allison Elizabeth Alexander |
First Address | Oak Park, MI 48237-4103 |
Second Address | Oak Park, MI 48237-4103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/12/2020 |
Last Update Date | 30/12/2020 |