Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 306794 | NC |
NPI | 1184958001 |
---|---|
Provider Name | Stephanie Lynn Sondermann-Luther |
First Address | Wilmington, NC 28409-0009 |
Second Address | Wilmington, NC 28405-3504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2009 |
Last Update Date | 07/03/2019 |