Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-108363 |
NPI | 1326702614 |
---|---|
Provider Name | Mrs. Brittni Marie Lents |
First Address | Las Vegas, NV 89179-1212 |
Second Address | Las Vegas, NV 89179-1212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2021 |
Last Update Date | 24/10/2021 |