Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1164868360 |
---|---|
Provider Name | Ms. Lucia Mary Barthes |
First Address | Miller Place, NY 11764-1506 |
Second Address | Miller Place, NY 11764-1506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2013 |
Last Update Date | 14/05/2013 |