Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1043683808 |
---|---|
Provider Name | Ms. Lindsey Thompson |
First Address | Los Angeles, CA 90024-1984 |
Second Address | Los Angeles, CA 90024-1984 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2015 |
Last Update Date | 02/11/2015 |