Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-149986 |
NPI | 1124625405 |
---|---|
Provider Name | Mrs. Ashlee C Brown |
First Address | Lexington, KY 40504-3408 |
Second Address | Lexington, KY 40503-2917 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2020 |
Last Update Date | 08/10/2020 |