Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L132862 | CO |
NPI | 1023525870 |
---|---|
Provider Name | Kelly Ann Lafferty |
First Address | Littleton, CO 80120-4557 |
Second Address | Denver, CO 80211-3827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2018 |
Last Update Date | 02/01/2018 |