Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-305586 | TX |
NPI | 1205596459 |
---|---|
Provider Name | Shannon Morgan |
First Address | Spring, TX 77381-2819 |
Second Address | Spring, TX 77381-2819 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2021 |
Last Update Date | 28/12/2021 |