Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11196265 |
NPI | 1205176807 |
---|---|
Provider Name | Mrs. Elizabeth Anne Brown |
First Address | East Liverpool, OH 43920-1103 |
Second Address | East Liverpool, OH 43920-1103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2013 |
Last Update Date | 20/02/2013 |