Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1295144798 |
---|---|
Provider Name | Lauren Fruehan |
First Address | Naugatuck, CT 06770-1600 |
Second Address | Naugatuck, CT 06770-1600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2014 |
Last Update Date | 02/02/2018 |