Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | E56155 | CT |
NPI | 1053747733 |
---|---|
Provider Name | Mrs. Lori A Atkins |
First Address | Hartford, CT 06105-1208 |
Second Address | Colchester, CT 06415-2626 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2013 |
Last Update Date | 25/09/2013 |