Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-302261 |
NPI | 1336722537 |
---|---|
Provider Name | Melanie Acon |
First Address | Culpeper, VA 22701-1642 |
Second Address | Culpeper, VA 22701-1642 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2021 |
Last Update Date | 04/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
L-302261 | INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS (IBLCE) (01) |