Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 108-56055 | CA |
NPI | 1245666114 |
---|---|
Provider Name | Lisa Araki |
First Address | Valencia, CA 91355-1775 |
Second Address | Valencia, CA 91355-1775 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2013 |
Last Update Date | 23/09/2013 |