Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-302394 |
NPI | 1205429933 |
---|---|
Provider Name | Kerri Meagan Raymer |
First Address | Lexington, KY 40511-8889 |
Second Address | Lexington, KY 40504-3274 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2021 |
Last Update Date | 13/02/2021 |