Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | 0005126 | NY |
NPI | 1053746891 |
---|---|
Provider Name | Mrs. Laura A Walker |
First Address | Binghamton, NY 13905-4246 |
Second Address | Binghamton, NY 13905-4246 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2013 |
Last Update Date | 12/09/2013 |