Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 06-921 | AZ |
NPI | 1043330186 |
---|---|
Provider Name | Dr. Lois Marie Eaton |
First Address | Prescott, AZ 86305-1803 |
Second Address | Prescott, AZ 86305-1803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 08/07/2007 |