Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-150197 | NM |
NPI | 1255956983 |
---|---|
Provider Name | Meghann Eileen Dallin |
First Address | Albuquerque, NM 87105-4135 |
Second Address | Albuquerque, NM 87105-4135 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2020 |
Last Update Date | 09/06/2020 |