Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 59644 | MA |
NPI | 1386752921 |
---|---|
Provider Name | Dr. Earline Llewellyn |
First Address | North Attleboro, MA 02760-3404 |
Second Address | Attleboro, MA 02703-1518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 06/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3036880 | (05) | MA |
E01909 | (02) | MA |