Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-109594 | CO |
NPI | 1043797863 |
---|---|
Provider Name | Mrs. Margaret Marie Schlessman Emmerich |
First Address | Denver, CO 80210-3210 |
Second Address | Denver, CO 80210-3210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2018 |
Last Update Date | 24/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
L-109594 | IBLCE (01) | CO |