Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-164383 |
NPI | 1003456625 |
---|---|
Provider Name | Leora Gelman Robles |
First Address | Laguna Hills, CA 92653-5507 |
Second Address | Laguna Hills, CA 92653-5507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2020 |
Last Update Date | 29/11/2021 |