Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-302725 |
NPI | 1255929311 |
---|---|
Provider Name | Lydia O. Boyd |
First Address | Sylmar, CA 91342-7200 |
Second Address | Sylmar, CA 91342-7200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2021 |
Last Update Date | 05/01/2021 |