Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-63862 | CA |
NPI | 1104339498 |
---|---|
Provider Name | Megan Lynn Carlton |
First Address | Visalia, CA 93277-8871 |
Second Address | Visalia, CA 93277-8871 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2017 |
Last Update Date | 09/11/2017 |