Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-149788 |
NPI | 1255993598 |
---|---|
Provider Name | Leeann L. Fincham |
First Address | Severna Park, MD 21146-1356 |
Second Address | Severna Park, MD 21146-1356 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2019 |
Last Update Date | 08/07/2019 |