Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-164332 | LA |
NPI | 1083387344 |
---|---|
Provider Name | Caroline Marie Dumesnil |
First Address | New Iberia, LA 70563-3095 |
Second Address | New Iberia, LA 70563-3095 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2021 |
Last Update Date | 31/07/2021 |