Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1306313077 |
---|---|
Provider Name | Kristin Lynn Szerszen |
First Address | Granger, IN 46530-7744 |
Second Address | Granger, IN 46530-7744 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2018 |
Last Update Date | 25/08/2021 |