Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1124683529 |
---|---|
Provider Name | Lauryn E Ulam |
First Address | Trail Creek, IN 46360-6447 |
Second Address | Trail Creek, IN 46360-6447 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2019 |
Last Update Date | 29/12/2020 |