Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 99078 |
NPI | 1245722081 |
---|---|
Provider Name | Isabela Lessa |
First Address | Washington, DC 20036-6103 |
Second Address | Washington, DC 20036-6103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2018 |
Last Update Date | 06/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
L-99078 | IBCLC (01) |