Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-99183 | MI |
NPI | 1013461102 |
---|---|
Provider Name | Linda Marie Marshall |
First Address | Negaunee, MI 49866-0053 |
Second Address | Negaunee, MI 49866-9501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2016 |
Last Update Date | 07/08/2016 |