Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | ALPP ID 202943 | MA |
NPI | 1184057846 |
---|---|
Provider Name | Stephanie Spitzer-Hanks |
First Address | Austin, TX 78757-2620 |
Second Address | Austin, TX 78757-2620 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2013 |
Last Update Date | 28/05/2014 |