Doctor Name: | LORRAINE MARIE MILES |
NPI Number: | 1194130617 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, IBCLC-RLC |
License Number: | L-33010 |
Business Practice Address: | 20474 Varsity Dr Walnut, CA - 917891219 |
Business Phone Number: | 9095959620 |
Business Fax Number: | |
Mailing Address: | 20474 Varsity Dr, WALNUT |
State: | CA |
Postal Code: | 917891219 |
Phone Number: | 9095959620 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2014 |
NPI Last Update Date: | 06/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | L-33010 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |