Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-61291 | MD |
NPI | 1124419445 |
---|---|
Provider Name | Megan Elizabeth Oreilly |
First Address | Hagerstown, MD 21742-4065 |
Second Address | Hagerstown, MD 21742-4065 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2015 |
Last Update Date | 09/02/2015 |