Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-132926 | VA |
NPI | 1386312304 |
---|---|
Provider Name | Lillybeth Seng |
First Address | Purcellville, VA 20134-0707 |
Second Address | Purcellville, VA 20132-3266 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2021 |
Last Update Date | 03/09/2021 |