Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1356833693 |
---|---|
Provider Name | Stephanie Lafrenier |
First Address | Brick, NJ 08723-6248 |
Second Address | Brick, NJ 08723-6248 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2018 |
Last Update Date | 02/06/2018 |