Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156F00000X | Technician/Technologist | ||
N | 174N00000X | Lactation Consultant |
NPI | 1235631144 |
---|---|
Provider Name | Mrs. Heather Dunahoo |
First Address | Lawton, OK 73505-7599 |
Second Address | Lawton, OK 73505-7599 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2018 |
Last Update Date | 05/06/2021 |