Individual
MRS. KATHERINE LOUISE WHITAKER-LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C, LCCE, IBCLC
Contact information
Practice address
16 STEBBINS AVE, STATEN ISLAND, NY 10310-1638
(718) 448-0819
Mailing address
16 STEBBINS AVE, STATEN ISLAND, NY 10310-1638
(718) 448-0819
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
10726339
NY
363A00000X
Physician Assistant
04836-1
NY
Other
Enumeration date
05/20/2008
Last updated
03/31/2015
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