Individual
HANNAH VAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, IBCLC
Contact information
Practice address
4101 E MORNINGSIDE DR, BLOOMINGTON, IN 47408-3146
(812) 272-1012
Mailing address
4101 E MORNINGSIDE DR, BLOOMINGTON, IN 47408-3146
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
37002276A
IN
174N00000X
Lactation Consultant (Non-RN)
Primary
L-152699
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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