Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L12954 | FL |
NPI | 1003146549 |
---|---|
Provider Name | Amy Marie Hammant |
First Address | Land O Lakes, FL 34637-3211 |
Second Address | Tampa, FL 33612-5651 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2010 |
Last Update Date | 11/09/2018 |