Individual
ANGELA LEN LULL
Active
Individual
ANGELA LEN LULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, LMT,CST,DOULA
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
LC-LC-10214114
OR
225700000X
Massage Therapist
26277
OR
Other
Enumeration date
03/19/2021
Last updated
05/17/2022
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