Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | ||
Y | 174N00000X | Lactation Consultant | L-127283 | IL |
NPI | 1275033425 |
---|---|
Provider Name | Lesley Karasinski |
First Address | Barrington, IL 60010-5952 |
Second Address | Crystal Lake, IL 60014-3605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2018 |
Last Update Date | 14/02/2018 |