Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 10218468 | DC |
NPI | 1326399841 |
---|---|
Provider Name | Karen F Meehan |
First Address | Monrovia, CA 91016-2312 |
Second Address | Monrovia, CA 91016-2312 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2012 |
Last Update Date | 24/09/2012 |