Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1265773154 |
---|---|
Provider Name | Ms. Lynn Carter |
First Address | Kirksville, MO 63501-3101 |
Second Address | Kirksville, MO 63501-3101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2013 |
Last Update Date | 03/03/2013 |