Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | FL |
NPI | 1316195191 |
---|---|
Provider Name | Stephanie Levenston |
First Address | Boca Raton, FL 33428-4825 |
Second Address | Boca Raton, FL 33428-4825 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2008 |
Last Update Date | 14/01/2013 |