Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1285900498 |
---|---|
Provider Name | Mrs. Linda Peirce |
First Address | Erie, CO 80516-6505 |
Second Address | Erie, CO 80516-6505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2012 |
Last Update Date | 02/04/2012 |