Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-153935 | CA |
NPI | 1265066195 |
---|---|
Provider Name | Megan Masler |
First Address | Laguna Hills, CA 92653-7517 |
Second Address | Laguna Hills, CA 92653-7517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2020 |
Last Update Date | 29/02/2020 |