Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1083154017 |
---|---|
Provider Name | Joanne Stein |
First Address | Saint Louis, MO 63139-3414 |
Second Address | Saint Louis, MO 63139-3414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2017 |
Last Update Date | 23/02/2017 |