Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant |
NPI | 1043251846 |
---|---|
Provider Name | Mrs. Lauren A Coovert |
First Address | Monticello, IL 61856 |
Second Address | Monticello, IL 61856 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2006 |
Last Update Date | 11/12/2020 |