Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11119829 | FL |
N | 176B00000X | Midwife | MW325 | FL |
NPI | 1134550890 |
---|---|
Provider Name | Sandra Ann Lobaina |
First Address | Hialeah, FL 33018-7570 |
Second Address | Margate, FL 33063-4504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2013 |
Last Update Date | 22/02/2016 |