Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1346585296 |
---|---|
Provider Name | Ms. Christine F Smith |
First Address | Lakeland, FL 33813-3708 |
Second Address | Lakeland, FL 33813-3708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2012 |
Last Update Date | 04/12/2012 |