Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | L-47496 | AZ |
N | 174N00000X | Lactation Consultant | L-47496 | MO |
NPI | 1063891364 |
---|---|
Provider Name | Ms. Laura Ann Weber |
First Address | Saint Louis, MO 63104-1622 |
Second Address | Scottsdale, AZ 85255-5406 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2015 |
Last Update Date | 06/05/2020 |