Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-142596 |
NPI | 1376186288 |
---|---|
Provider Name | Claudia Smyczek Raleigh |
First Address | Chapel Hill, NC 27514-7639 |
Second Address | Chapel Hill, NC 27514-7639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2019 |
Last Update Date | 23/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
L-142596 | INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS (01) |