Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 77675 | NC |
NPI | 1235605379 |
---|---|
Provider Name | Lindsey Lee Mulholland |
First Address | Godwin, NC 28344-5100 |
Second Address | Fayetteville, NC 28305-5531 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2018 |
Last Update Date | 16/10/2018 |