Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 313334 | LA |
NPI | 1285260398 |
---|---|
Provider Name | Ms. Sarah E. Veksler |
First Address | Denver, CO 80222-3521 |
Second Address | Denver, CO 80202-1765 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2020 |
Last Update Date | 22/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
313334 | CERTIFIED LACTATION COUNCELOR ALPP ID (01) | LA |