Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 1278 | CA |
NPI | 1104580927 |
---|---|
Provider Name | Hannah Lollar |
First Address | Encinitas, CA 92024-4379 |
Second Address | Encinitas, CA 92024-4300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2021 |
Last Update Date | 27/10/2021 |