Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-11398 | FL |
NPI | 1053799387 |
---|---|
Provider Name | Patricia Hanning |
First Address | Land O Lakes, FL 34638-8134 |
Second Address | Land O Lakes, FL 34638-8134 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2015 |
Last Update Date | 05/10/2015 |