Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-97868 | CO |
NPI | 1164707931 |
---|---|
Provider Name | Mrs. Kelly Euperio |
First Address | Lafayette, CO 80026-9190 |
Second Address | Lafayette, CO 80026-9190 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/10/2011 |
Last Update Date | 17/10/2016 |