Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11177366 | MA |
NPI | 1164775987 |
---|---|
Provider Name | Maire Maclean |
First Address | South Hamilton, MA 01982-2119 |
Second Address | South Hamilton, MA 01982-2119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2012 |
Last Update Date | 17/10/2012 |