Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 10813644 | NC |
NPI | 1124394952 |
---|---|
Provider Name | Laura F Benton |
First Address | Charlotte, NC 28278-7796 |
Second Address | Charlotte, NC 28278-7796 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2012 |
Last Update Date | 27/03/2012 |